Healthcare Provider Details

I. General information

NPI: 1417468067
Provider Name (Legal Business Name): BRIANA THOMAS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2017
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 HUGUENOT RD STE 312
NORTH CHESTERFIELD VA
23235-4311
US

IV. Provider business mailing address

945 CRESTMARK BLVD APT 121
LITHIA SPRINGS GA
30122-2626
US

V. Phone/Fax

Practice location:
  • Phone: 804-889-2384
  • Fax:
Mailing address:
  • Phone: 973-338-2999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: