MEDICARE: ADRIANE D THOMAS LCSW

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	101YP2500X	Professional Counselor	002142	GA

General Provider Information

NPI Number	:	1437284668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANE D THOMAS LCSW

Provider Business Mailing Address
First Line	:	5380 WHITNEY CT
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30088-3249
Country	:	US
Telephone Number	:	770-879-6975
Fax Number	:

Provider Business Practice Location Address
First Line	:	2799 METROPOLITAN PKWY SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7913
Country	:	US
Telephone Number	:	404-762-4111
Fax Number	:	404-762-4109

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

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