MEDICARE: STACEY THOMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1134446321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACEY THOMAS

Provider Business Mailing Address
First Line	:	2600 NW 63RD ST
Second Line	:	APT. 83
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-4950
Country	:	US
Telephone Number	:	405-312-5178
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 NW 63RD ST
Second Line	:	APT 83
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-4950
Country	:	US
Telephone Number	:	405-312-5178
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2010
Last Update Date	:	04/24/2012

Similar Medicare Providers

1326024464 — DR. BRUCE A. BOTTCHER D.C.
Practice Location Address:

405 S US HIGHWAY 281 , SUITE 101-C
JOHNSON CITY, TX
78636-4950

Practice Phone: 830-868-4280
Practice Fax:

1841248408 — DR. JOHN DUDLEY WEAVER MD
Practice Location Address:

405 S US HIGHWAY 281 , STE 101C
JOHNSON CITY, TX
78636-4950

Practice Phone: 830-868-7800
Practice Fax: 830-992-2861

1780805309 — MS. REGINA D. WOOD LCSW
Practice Location Address:

4950 SW CORSAIR AVE.
PALM CITY, FL
34990

Practice Phone: 772-286-2130
Practice Fax:

1720276843 — MRS. JOVAWNA DAWN ELLISON-HUBBARD MSN,APRN,FNP-BC
Practice Location Address:

405 S US HIGHWAY 281 , STE 101 C
JOHNSON CITY, TX
78636-4950

Practice Phone: 830-868-7800
Practice Fax: 830-992-2861

1760824387 — BLANCO REGIONAL CLINIC
Practice Location Address:

405 S US HIGHWAY 281
JOHNSON CITY, TX
78636-4950

Practice Phone: 830-833-5581
Practice Fax: 830-833-4933

1972092765 — COMFORT ABLE HOME CARE, INC.
Practice Location Address:

625 THE CITY DR S STE 105
ORANGE, CA
92868-4950

Practice Phone: 714-740-0435
Practice Fax:

Directions to “ STACEY THOMAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.