| Felicia Thomas, | |
|
457 Nathan Dean Blvd # 339, Dallas, GA 30132-4911 | |
| (702) 744-7696 | |
| Not Available |
| Full Name | Felicia Thomas |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 457 Nathan Dean Blvd # 339, Dallas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871892695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFT001788 (Georgia) | Secondary |
| 106H00000X | Marriage & Family Therapist | 01302 (Nevada) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Felicia Thomas, 457 Nathan Dean Blvd # 339, Dallas, GA 30132-4911 Ph: (770) 608-4565 | Felicia Thomas, 457 Nathan Dean Blvd # 339, Dallas, GA 30132-4911 Ph: (702) 744-7696 |
Dr. Mark Stephen Wolfe, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 Evans Mill Dr, Dallas, GA 30157 Phone: 770-445-6358 Fax: 770-445-7262 | |
Taneka S. White, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 271 Aberdeen Way, Dallas, GA 30132 Phone: 404-606-0251 | |
Lashell R Pope, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 64 Aspen Way, Dallas, GA 30157 Phone: 678-697-7982 |