1306080205 NPI number — MRS. TONYA TOOKES TOOKES HELMKAMP LPC, LLP NCC

Table of content: MRS. TONYA TOOKES TOOKES HELMKAMP LPC, LLP NCC (NPI 1306080205)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306080205 NPI number — MRS. TONYA TOOKES TOOKES HELMKAMP LPC, LLP NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TOOKES HELMKAMP
Provider First Name:
TONYA
Provider Middle Name:
TOOKES
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC, LLP NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TOOKES-REZNIK
Provider Other First Name:
TONYA
Provider Other Middle Name:
LYNETTE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1306080205
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
33730 FREEDOM RD STE C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FARMINGTON HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48335-4718
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-675-5131
Provider Business Mailing Address Fax Number:
248-957-6846

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
33730 FREEDOM RD STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FARMINGTON HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48335-4718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-675-5131
Provider Business Practice Location Address Fax Number:
248-957-6846
Provider Enumeration Date:
04/23/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  6401007203 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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