IndividualActive
Thomas Richard Balkcom, LPC
NPI 1457570939 · Counselor · Brookhaven, MS
Thomas Richard Balkcom, LPC is a Counselor provider in Brookhaven, MS (NPI 1457570939).
Provider details
- NPI number
- 1457570939
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1181 (MS)
Practice location
1107 S Jackson St
Brookhaven, MS 39601-4609
Phone: (601) 833-1507
Street-level locationGet directions
Mailing address
1107 S Jackson St
Brookhaven, MS 39601-4609
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.