Coresa Hawanis Thomas, C&A CLINICIAN is a
Counselor - Mental Health based in Walton, Georgia. Coresa Hawanis Thomas is licensed to practice in Georgia (license number ) and her current practice location is
Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 267-8302.
NPI number for Coresa Hawanis Thomas is 1558968149 and her current mailing address is 621 Holly Springs Ct, Athens, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558968149.
Healthcare Provider's Profile
Full Name | Coresa Hawanis Thomas |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | Advantage Behavioral Health, Walton, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558968149
- Provider Enumeration Date: 10/06/2020
- Last Update Date: 10/06/2020
Medical Identifiers
Medical identifiers for Coresa Hawanis Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558968149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coresa Hawanis Thomas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Coresa Hawanis Thomas, C&A CLINICIAN 621 Holly Springs Ct, Athens, GA 30606-0787 Ph: (706) 380-2264 | Coresa Hawanis Thomas, C&A CLINICIAN Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 Ph: (770) 267-8302 |
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