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NPI Code Detail

MEDICARE: DYNESHA FLORENCE THOMAS

MEDICARE: DYNESHA FLORENCE 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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.191029OH
2175T00000XPeer SpecialistAPS.004848OH

General Provider Information

NPI Number : 1427814813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYNESHA FLORENCE THOMAS
Provider Business Mailing Address
First Line : 3537 STANFORD PL
Second Line :
City : DAYTON
State : OH
Zip : 45406-3641
Country : US
Telephone Number : 251-593-6590
Fax Number :
Provider Business Practice Location Address
First Line : 3537 STANFORD PL
Second Line :
City : DAYTON
State : OH
Zip : 45406-3641
Country : US
Telephone Number : 251-593-6590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2024
Last Update Date : 11/05/2025

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Directions to “ DYNESHA FLORENCE THOMAS ” Practice Location

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