person
Theresa Mechelle Thomas
Professional Counselor in Gainesville, Georgia
NPI 1790315752

Theresa Mechelle Thomas is a Professional Counselor based in Gainesville, GA and is specialized in Professional. Theresa Mechelle Thomas practices in Gainesville, GA. The NPI Number for Theresa Mechelle Thomas is 1790315752 and holds a License No. LPC010110 (Georgia).

The current practice location address for Theresa Mechelle Thomas is 1745 Thompson Bridge Rd, Gainesville, GA and can be reached out via phone at 770-536-9903 and via fax at 770-536-9904.

Location: 1745 Thompson Bridge Rd, Gainesville, GA, 30504-1083
person
Provider Profile Details
NPI Number
1790315752
Provider Name
Theresa Mechelle Thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
1745 Thompson Bridge Rd, Gainesville, GA, 30504-1083
Phone Number
770-536-9903
Fax Number
770-536-9904
Provider Enumeration Date
01/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC010110 01 GA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1745 Thompson Bridge Rd
City
State
Zip
30501-1717
Phone Number
770-536-9903
Fax Number
770-536-9904
person
Provider Business Mailing Address Details
Address
1745 Thompson Bridge Rd
City
State
Zip
30501-1717
Phone Number
770-536-9903
Fax Number
770-536-9904
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC010110 (Georgia)
Definition
Definition to come...
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