Provider Demographics
NPI:1871177097
Name:VELA, TOMMIE DANNIELLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:TOMMIE
Middle Name:DANNIELLE
Last Name:VELA
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 1:2918 RANCH ROAD 620 N UNIT 256
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-2268
Mailing Address - Country:US
Mailing Address - Phone:361-522-6709
Mailing Address - Fax:
Practice Address - Street 1:2918 RANCH ROAD 620 N UNIT 256
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78734-2268
Practice Address - Country:US
Practice Address - Phone:361-522-6709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82211101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional