MEDICARE: MRS. CHRISTINA JOAN THOMAS LMFT

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	101YP1600X	Pastoral Counselor	35001487A	IN
2	106H00000X	Marriage & Family Therapist	35001487A	IN

General Provider Information

NPI Number	:	1275674046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA JOAN THOMAS LMFT

Provider Business Mailing Address
First Line	:	819 E 64TH ST
Second Line	:	SUITE A
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1671
Country	:	US
Telephone Number	:	317-459-7321
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 E 64TH ST
Second Line	:	SUITE A
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1671
Country	:	US
Telephone Number	:	317-459-7321
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	09/11/2025

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