Provider Demographics
NPI:1881176212
Name:THOMAS, AUSLYN (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:AUSLYN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 MAGNOLIA RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2371
Mailing Address - Country:US
Mailing Address - Phone:678-549-1688
Mailing Address - Fax:615-523-8756
Practice Address - Street 1:1004 HICKORY HILL LN STE 3
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-1931
Practice Address - Country:US
Practice Address - Phone:678-549-1688
Practice Address - Fax:615-523-8756
Is Sole Proprietor?:No
Enumeration Date:2018-09-01
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4394101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ0549989Medicaid