Provider Demographics
NPI:1083372288
Name:THOMAS, BARBARA ANN (LPC-MHSP T)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPC-MHSP T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 GRADYS RD
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-6607
Mailing Address - Country:US
Mailing Address - Phone:865-805-3024
Mailing Address - Fax:
Practice Address - Street 1:229 GRADYS RD
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-6607
Practice Address - Country:US
Practice Address - Phone:865-805-3024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5374101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health