Provider Demographics
NPI:1073193397
Name:ANNA THAMES COUNSELING PLLC
Entity Type:Organization
Organization Name:ANNA THAMES COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:THAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-500-9138
Mailing Address - Street 1:1201 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-2907
Mailing Address - Country:US
Mailing Address - Phone:980-500-9138
Mailing Address - Fax:704-684-4656
Practice Address - Street 1:1201 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-2907
Practice Address - Country:US
Practice Address - Phone:980-500-9138
Practice Address - Fax:704-684-4656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty