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NPI Code Detail

MEDICARE: TARYN ALYSSA THOMAS

MEDICARE: TARYN ALYSSA 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
1101Y00000XCounselor

General Provider Information

NPI Number : 1609738327
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARYN ALYSSA THOMAS
Provider Business Mailing Address
First Line : 4113 W CHICAGO ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-2119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 ELK ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7351
Country : US
Telephone Number : 605-343-7262
Fax Number : 605-343-7293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ TARYN ALYSSA THOMAS ” Practice Location

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