Provider Demographics
NPI:1073845228
Name:THOMISON, ANNA (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:THOMISON
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 142453
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75014-2453
Mailing Address - Country:US
Mailing Address - Phone:972-483-2345
Mailing Address - Fax:
Practice Address - Street 1:600 E JOHN CARPENTER FWY STE 296
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4549
Practice Address - Country:US
Practice Address - Phone:972-483-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201222106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist