MEDICARE: JACQUELYN 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1730535816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELYN THOMAS

Provider Business Mailing Address
First Line	:	1705 FELICIA AVE
Second Line	:
City	:	RICHMOND
State	:	LA
Zip	:	71282-8203
Country	:	US
Telephone Number	:	318-574-1232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 FELICIA AVE
Second Line	:
City	:	RICHMOND
State	:	LA
Zip	:	71282-8203
Country	:	US
Telephone Number	:	318-574-1232
Fax Number	:

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

Provider Enumeration Date	:	05/09/2016
Last Update Date	:	05/09/2016

Similar Medicare Providers

1679432785 — VERITAS HOSPICE & PALLIATIVE CARE LLC
Practice Location Address:

7306 WELCH CT
RICHMOND, TX
77469-8203

Practice Phone: 281-541-6467
Practice Fax:

1548302730 — DANIEL JOSEPH DOUGHERTY LCSW
Practice Location Address:

8203 FREDONIA RD , GARDEN COTTAGE COUNSELING
RICHMOND, VA
23227-1533

Practice Phone: 804-264-3047
Practice Fax: 804-264-3047

1598942518 — DR. JULIA GATHRIGHT MCLAUGHLIN PHD
Practice Location Address:

8203 FREDONIA ROAD
RICHMOND, VA
23227

Practice Phone: 804-928-5117
Practice Fax: 804-928-5117

1851856892 — MR. JEFFREY HARNISH
Practice Location Address:

8203 BOWERS LN
RICHMOND, VA
23227-1401

Practice Phone: 804-615-4488
Practice Fax:

1649822263 — SOUTH CARE HEALTH & SKILLED NURSING LLC
Practice Location Address:

19400 W BELLFORT ST APT 1207
RICHMOND, TX
77407-8203

Practice Phone: 832-672-1238
Practice Fax: 281-670-5042

1457023087 — MME GROUP HOME
Practice Location Address:

19400 W BELLFORT ST APT 1212
RICHMOND, TX
77407-8203

Practice Phone: 817-412-3067
Practice Fax:

Directions to “ JACQUELYN THOMAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.