Provider Demographics
NPI:1245665272
Name:THOMAS, MARGARET L (LPCA)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 TIMBER TRAIL
Mailing Address - Street 2:
Mailing Address - City:GOLD HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28071
Mailing Address - Country:US
Mailing Address - Phone:704-279-1199
Mailing Address - Fax:704-279-7668
Practice Address - Street 1:665 TIMBER TRAIL
Practice Address - Street 2:
Practice Address - City:GOLD HILL
Practice Address - State:NC
Practice Address - Zip Code:28071
Practice Address - Country:US
Practice Address - Phone:704-279-1199
Practice Address - Fax:704-279-7668
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9457101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health