Thomas Richard Michael Balkcom, LPC
Counselor · Brookhaven, MS
Practice location
1107 S Jackson StBrookhaven, MS 39601-4609
- Phone
- (601) 833-1507
NPI record
- NPI
- 1457570939
- Entity type
- Individual (Type 1)
- Enumeration date
- April 24, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
1181 | MS |
About Thomas Richard Balkcom
Thomas Richard Michael Balkcom, LPC is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1107 S Jackson St, Brookhaven, MS 39601-4609. The NPI number 1457570939 was assigned on April 24, 2007 and the record was last updated on July 8, 2007.
Thomas Richard Balkcom lists a license in the registry: #1181 (MS) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Thomas Richard Michael Balkcom, LPC?
The NPI number is 1457570939.
What is the phone number of Thomas Richard Balkcom?
The phone number listed for the practice location is (601) 833-1507.
Where is Thomas Richard Balkcom located?
1107 S Jackson St, Brookhaven, MS 39601-4609.
What is the taxonomy code for Thomas Richard Balkcom?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Counselor providers in Brookhaven
- Ju'daijah Banks1377 Johnny Johnson Dr
- Jacqueline Michelle Thomas1377 Johnny Johnson Dr
- Earlisa Thompson1377 Johnny Johnson Dr
- Kristina Wallace Mason1377 Johnny Johnson Dr
- Darlene Moore1377 Johnny Johnson Dr
- Chad Yarborough, MA, MDIV, P-LPC230 W Court Street
- Katressia Antwanette Wilson1377 Johnny Johnson Dr