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NPI Code Detail

MEDICARE: BRIANA THOMAS

MEDICARE:   BRIANA  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
1101YM0800XMental Health CounselorAPCC21725CA

General Provider Information

NPI Number : 1205794690
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA THOMAS
Provider Business Mailing Address
First Line : 3711 LONG BEACH BLVD STE 6057
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3315
Country : US
Telephone Number : 562-264-5502
Fax Number :
Provider Business Practice Location Address
First Line : 3711 LONG BEACH BLVD STE 6057
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3315
Country : US
Telephone Number : 562-264-5502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/14/2026

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Directions to “ BRIANA THOMAS ” Practice Location

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