Provider Demographics
NPI:1942342555
Name:THOMAS COMBS, KIMBERLY DENISE (MA)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DENISE
Last Name:THOMAS COMBS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:DENISE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:8321 E 61ST ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1913
Mailing Address - Country:US
Mailing Address - Phone:918-369-4950
Mailing Address - Fax:918-369-4951
Practice Address - Street 1:8321 E 61ST ST
Practice Address - Street 2:SUITE 205
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-1913
Practice Address - Country:US
Practice Address - Phone:918-369-4950
Practice Address - Fax:918-369-4951
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor