Theresa Nicole Thomas, MA, LPC | |
200 Faraday Plz, Winchester, VA 22603-4669 | |
(833) 510-4357 | |
Not Available |
Full Name | Theresa Nicole Thomas |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 200 Faraday Plz, Winchester, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528770708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701011975 (Virginia) | Primary |
Entity Name | Supportive Care Of Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801485354 PECOS PAC ID: 2961816731 Enrollment ID: O20210208000520 |
Mailing Address | Practice Location Address |
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Theresa Nicole Thomas, MA, LPC 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: (833) 510-4357 | Theresa Nicole Thomas, MA, LPC 200 Faraday Plz, Winchester, VA 22603-4669 Ph: (833) 510-4357 |
Jennifer Cassidy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Bellview Ave, Winchester, VA 22601 Phone: 540-542-0200 Fax: 540-542-0318 | |
Arkeem Talley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Pegasus Ct, Winchester, VA 22602 Phone: 540-313-4196 | |
Craig Lien, LPC, CCTP, CTMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Westside Station Dr, Winchester, VA 22601 Phone: 540-594-4357 | |
Julia Showers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Pegasus Ct, Winchester, VA 22602 Phone: 800-805-6989 | |
Alexandra Mackay-smith Keirstead, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Ricketts Dr, Winchester, VA 22601 Phone: 540-535-1112 | |
Ms. Ellen Marie Capone, L.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S Braddock St, Winchester, VA 22601 Phone: 540-678-0807 Fax: 540-678-0807 | |
Arielle Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Pegasus Ct, Winchester, VA 22602 Phone: 540-313-4196 |