Provider Demographics
NPI:1225480874
Name:THOMAS, ADRIENNE
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13700 VETERANS MEMORIAL DR
Mailing Address - Street 2:SUITE NUMBER 235
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1026
Mailing Address - Country:US
Mailing Address - Phone:281-508-4466
Mailing Address - Fax:832-218-9001
Practice Address - Street 1:13700 VETERANS MEMORIAL DR
Practice Address - Street 2:SUITE NUMBER 235
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1026
Practice Address - Country:US
Practice Address - Phone:281-508-4466
Practice Address - Fax:832-218-9001
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72760101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health