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General NPI Number Information
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NPI Number | 1861270514
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Entity Type | Organization
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Legal Business Name | THOMAS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 1710 CORPORATE XING STE 4
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City | O FALLON
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State | IL
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Zip | 62269-3741
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Country | US
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Telephone | 314-626-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 10949 SYLVAN VISTA DR
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City | LEBANON
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State | IL
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Zip | 62254-2334
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Country | US
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Telephone | 618-402-0729
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Fax |
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Authorized Official
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Title or Position | OWNER & THERAPIST
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Name | STEPHANIE THOMAS
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Credential | MA, LCPC
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Telephone | 618-402-0729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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