Provider Demographics
NPI:1679704803
Name:LOMELINO-TEWA, VICTORIA LYNN (LPC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNN
Last Name:LOMELINO-TEWA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:LYNN
Other - Last Name:TEWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:9298 SLAYTON RANCH RD
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-3373
Mailing Address - Country:US
Mailing Address - Phone:505-205-6215
Mailing Address - Fax:
Practice Address - Street 1:2 N CENTRAL AVE FL 18
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-2322
Practice Address - Country:US
Practice Address - Phone:646-453-6777
Practice Address - Fax:929-596-7897
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0115211101YP2500X
AZ16273101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional