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NPI Code Detail

MEDICARE: IMAGANY THOMAS

MEDICARE: IMAGANY 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
1101YM0800XMental Health Counselor8376TN

General Provider Information

NPI Number : 1649012212
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMAGANY THOMAS
Provider Business Mailing Address
First Line : 115 BRIXWORTH LN APT 5
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-2062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 143 SE PARKWAY CT
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-3968
Country : US
Telephone Number : 615-790-0567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2024
Last Update Date : 01/13/2026

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Directions to “ IMAGANY THOMAS ” Practice Location

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