Healthcare Provider Details

I. General information

NPI: 1679615199
Provider Name (Legal Business Name): REMONICA THOMAS MHR LPC, LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONICA THOMAS LPC

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N 10TH STREET
MUSKOGEE OK
74401
US

IV. Provider business mailing address

220 N 10TH STREET
MUSKOGEE OK
74401
US

V. Phone/Fax

Practice location:
  • Phone: 918-518-1283
  • Fax:
Mailing address:
  • Phone: 918-518-1283
  • Fax: 918-515-7942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3164
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number25020
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: