MEDICARE: ANASTASIA ELIZABETH 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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1942146139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANASTASIA ELIZABETH THOMAS

Provider Business Mailing Address
First Line	:	5923 LINDELL AVE APT 102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-8888
Country	:	US
Telephone Number	:	214-437-1487
Fax Number	:

Provider Business Practice Location Address
First Line	:	5923 LINDELL AVE APT 102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-8888
Country	:	US
Telephone Number	:	214-437-1487
Fax Number	:

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

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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