| Doctor Name: | MRS. TONYA HALL PERKINS |
| NPI Number: | 1073866513 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LMFT |
| License Number: | 3869 |
| Business Practice Address: | 1400 Freetown Rd Vicksburg, MS - 391838666 |
| Business Phone Number: | 6018313304 |
| Business Fax Number: | 6016309842 |
| Mailing Address: | 1400 Freetown Rd, VICKSBURG |
| State: | MS |
| Postal Code: | 391838666 |
| Phone Number: | 6018313304 |
| Fax Number: | 6016309842 |
| NPI Enumeration Date: | 10/22/2012 |
| NPI Last Update Date: | 10/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3869 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |