| Tracy W Thomas, Lpc Pllc | |
|
301 N Alamo Blvd Marshall TX 75670-3455 | |
| (903) 407-9701 | |
| (888) 845-9293 |
| Full Name | Tracy W Thomas, Lpc Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 N Alamo Blvd, Marshall, Texas |
| Authorized Official Name and Position | Tracy Wayne Thomas (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9034079701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy W Thomas, Lpc Pllc 301 N Alamo Blvd Marshall TX 75670-3455 Ph: (903) 407-9701 | Tracy W Thomas, Lpc Pllc 301 N Alamo Blvd Marshall TX 75670-3455 Ph: (903) 407-9701 |
| NPI Number | 1144686726 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 01/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144686726 | NPI | - | NPPES |
| 176240301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 19851 (Texas) | Primary |
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