Provider Demographics
NPI:1679615199
Name:THOMAS, REMONICA (MHR LPC)
Entity Type:Individual
Prefix:MS
First Name:REMONICA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MHR LPC
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:840 S ASPEN AVE STE F
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-4803
Mailing Address - Country:US
Mailing Address - Phone:918-518-1283
Mailing Address - Fax:918-515-7942
Practice Address - Street 1:840 S ASPEN AVE
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-4803
Practice Address - Country:US
Practice Address - Phone:918-360-6577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3164101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional