Provider Demographics
NPI:1588054597
Name:KRISTEN TOMCZYSZYN, MA, LPC, LLC
Entity type:Organization
Organization Name:KRISTEN TOMCZYSZYN, MA, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMCZYSZYN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:512-787-5575
Mailing Address - Street 1:601 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-9427
Mailing Address - Country:US
Mailing Address - Phone:512-787-5575
Mailing Address - Fax:
Practice Address - Street 1:601 W CENTER ST
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-9427
Practice Address - Country:US
Practice Address - Phone:512-787-5575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68688251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health