Tomie C. Burdine, LCSW
Individual provider Active NPI Professional Counselor · Greenville, MS
NPI 1306033360 · NPPES record last updated Oct 3, 2007
Key facts
- NPI
- 1306033360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C4544 (MS)
- Practice address
- 331 S Washington Ave
Greenville, MS 38701-4720 - Phone
- (662) 332-5060
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4544 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomie C. Burdine and Associates, Inc. | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C4544 | MS | Yes |
Addresses
Primary practice location
331 S Washington Ave
Greenville, MS 38701-4720
Mailing address
331 S Washington Ave
Greenville, MS 38701-4720
Phone (662) 332-5060
Other providers in Greenville, MS
- David Brown
- Brown'S Main Street Pharmacy Inc.
- William Brozovich
- Marshalvia Bryant
- Ethel Buckner
- Richard Burks
- Burton Medical Center, Inc.
- Charles Henry Burton Jr.
- Elmertha D. Burton
- Tammy White Burton
All providers in Greenville, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.