Ms Mavis B Thomas, LPC | |
109 Medical Park Dr Ste C, Andalusia, AL 36420-5364 | |
(334) 222-1818 | |
(334) 222-1919 |
Full Name | Ms Mavis B Thomas |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 109 Medical Park Dr Ste C, Andalusia, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538419452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2895 (Alabama) | Primary |
Entity Name | Cosby & Cosby Counseling & Consultation Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679807291 PECOS PAC ID: 4284859323 Enrollment ID: O20140707000476 |
Mailing Address | Practice Location Address |
---|---|
Ms Mavis B Thomas, LPC 614 W Bypass, Andalusia, AL 36420-4731 Ph: (334) 222-3555 | Ms Mavis B Thomas, LPC 109 Medical Park Dr Ste C, Andalusia, AL 36420-5364 Ph: (334) 222-1818 |
Candace Penn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19815 Bay Branch Rd, Andalusia, AL 36420 Phone: 334-488-0153 | |
Ruth Perry Racz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19815 Bay Branch Rd, Andalusia, AL 36420 Phone: 334-222-2523 Fax: 334-222-4660 | |
Brenda A Donaldson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19815 Bay Branch Rd, Andalusia, AL 36420 Phone: 334-222-2523 Fax: 334-222-4660 | |
Joelle Sage, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19815 Bay Branch Rd, Andalusia, AL 36420 Phone: 334-222-2525 Fax: 334-222-4660 | |
Heather Thompson, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Medical Park Dr Ste C, Andalusia, AL 36420 Phone: 334-222-1818 Fax: 334-222-1919 | |
Aiko Obuchi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19815 Bay Branch Rd, Andalusia, AL 36420 Phone: 334-222-2525 Fax: 334-222-4660 | |
Ms. Denese Volet, MA, LPC, CART Counselor Medicare: Not Enrolled in Medicare Practice Location: 19815 Bay Branch Rd, Andalusia, AL 36420 Phone: 334-222-2523 |