MEDICARE: ADRIENNE 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	72760	TX

General Provider Information

NPI Number	:	1225480874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE THOMAS

Provider Business Mailing Address
First Line	:	13700 VETERANS MEMORIAL DR
Second Line	:	SUITE NUMBER 235
City	:	HOUSTON
State	:	TX
Zip	:	77014-1026
Country	:	US
Telephone Number	:	281-508-4466
Fax Number	:	832-218-9001

Provider Business Practice Location Address
First Line	:	13700 VETERANS MEMORIAL DR
Second Line	:	SUITE NUMBER 235
City	:	HOUSTON
State	:	TX
Zip	:	77014-1026
Country	:	US
Telephone Number	:	281-508-4466
Fax Number	:	832-218-9001

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

Provider Enumeration Date	:	07/07/2016
Last Update Date	:	07/07/2016

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Directions to “ ADRIENNE THOMAS ” Practice Location

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