Healthcare Provider Details

I. General information

NPI: 1962359638
Provider Name (Legal Business Name): CAROLINE THOMAS LPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 PROFESSIONAL RD STE A
NORTH CHESTERFIELD VA
23235-3267
US

IV. Provider business mailing address

PO BOX 8294
RICHMOND VA
23226-0294
US

V. Phone/Fax

Practice location:
  • Phone: 804-991-0359
  • Fax:
Mailing address:
  • Phone: 804-991-0359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE THOMAS
Title or Position: OWNER
Credential: LPC
Phone: 804-991-0359