Mrs Mikala Thomas, LPC | |
7272 Bradford Rd, Upper Darby, PA 19082-3902 | |
(267) 432-8158 | |
Not Available |
Full Name | Mrs Mikala Thomas |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7272 Bradford Rd, Upper Darby, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730915208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC017131 (Pennsylvania) | Primary |
Entity Name | Moodrx Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912735267 PECOS PAC ID: 6709318256 Enrollment ID: O20241022002573 |
Mailing Address | Practice Location Address |
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Mrs Mikala Thomas, LPC 7272 Bradford Rd, Upper Darby, PA 19082-3902 Ph: (267) 432-8158 | Mrs Mikala Thomas, LPC 7272 Bradford Rd, Upper Darby, PA 19082-3902 Ph: (267) 432-8158 |
Ms. Helen Nichols La Rose, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 S 69th St, Upper Darby, PA 19082 Phone: 610-352-8943 | |
Cheryl Zoll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6930 Market St, Upper Darby, PA 19082 Phone: 434-469-4302 | |
Chinyere Chukwu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7281 Bradford Rd, Upper Darby, PA 19082 Phone: 610-931-3528 | |
John Stanley Raj Chinnaiyan Mathias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6930 Market St, Upper Darby, PA 19082 Phone: 484-469-4319 | |
Tyreese Mayo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7191 Ruskin Ln, Upper Darby, PA 19082 Phone: 302-465-8552 | |
Grady Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 S 69th St, Upper Darby, PA 19082 Phone: 610-352-8943 | |
Mr. Tyrone H Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Wiltshire Rd, Upper Darby, PA 19082 Phone: 610-623-3037 Fax: 610-623-3037 |