Provider Demographics
NPI:1578950937
Name:THOMAS, MEGHAN (LMFT-I)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMFT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 SHADWELL ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-1221
Mailing Address - Country:US
Mailing Address - Phone:702-378-6101
Mailing Address - Fax:
Practice Address - Street 1:5420 W SAHARA AVE STE 201
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0389
Practice Address - Country:US
Practice Address - Phone:702-800-7258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0607101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor