Provider Demographics
NPI:1043963408
Name:TOMLINSON, STEPHANIE R (LMHC, MA)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:R
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:LMHC, MA
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC, MA
Mailing Address - Street 1:2544 CENTERGATE DR APT 106
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-0723
Mailing Address - Country:US
Mailing Address - Phone:954-663-0897
Mailing Address - Fax:
Practice Address - Street 1:2544 CENTERGATE DR APT 106
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-0723
Practice Address - Country:US
Practice Address - Phone:954-663-0897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH18113101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health