Provider Demographics
NPI:1134712250
Name:TOMLIN, OMEKIA S (LMFT, LPC, LCDC-I)
Entity type:Individual
Prefix:MRS
First Name:OMEKIA
Middle Name:S
Last Name:TOMLIN
Suffix:
Gender:F
Credentials:LMFT, LPC, LCDC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 TEAL DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-7561
Mailing Address - Country:US
Mailing Address - Phone:270-312-5433
Mailing Address - Fax:
Practice Address - Street 1:5511 TEAL DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-7561
Practice Address - Country:US
Practice Address - Phone:270-312-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79070101YM0800X
TX203186106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health