Provider Demographics
NPI:1851042329
Name:LOPEZ, TOMMY FRIANK (LMFT)
Entity type:Individual
Prefix:MR
First Name:TOMMY
Middle Name:FRIANK
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 N STEWART ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-4767
Mailing Address - Country:US
Mailing Address - Phone:704-282-5006
Mailing Address - Fax:
Practice Address - Street 1:202 N STEWART ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4767
Practice Address - Country:US
Practice Address - Phone:704-282-5006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12201A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist