Provider Demographics
NPI:1437825643
Name:THOMASON, THERESA MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:MARIE
Last Name:THOMASON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:MARIE
Other - Last Name:KRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:231 RIO RANCHERO
Mailing Address - Street 2:
Mailing Address - City:PIPE CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:78063-6037
Mailing Address - Country:US
Mailing Address - Phone:183-042-3685
Mailing Address - Fax:
Practice Address - Street 1:148 CIELO RIO DR.
Practice Address - Street 2:
Practice Address - City:PIPE CREEK
Practice Address - State:TX
Practice Address - Zip Code:78063
Practice Address - Country:US
Practice Address - Phone:830-423-6857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-18
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81402101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health