Provider Demographics
NPI:1871106377
Name:KOENIGSTEIN, TONYA (LPC)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:KOENIGSTEIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LOWE AVE SE STE 2A
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4237
Mailing Address - Country:US
Mailing Address - Phone:931-297-4580
Mailing Address - Fax:
Practice Address - Street 1:101 LOWE AVE SE STE 2A
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4237
Practice Address - Country:US
Practice Address - Phone:931-297-4580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180012527101YP2500X
AL04833101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL04833OtherLICENSED PROFESSIONAL COUNSELOR