Thomas, Andre Allen

Thomas, Andre Allen is an sole proprietor health care provider with primary practice located at 151 Tabor Dr , Warner Robins GA 31093-8703. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Thomas, Andre Allen can be contacted via phone (478) 461-2773.

Contact Information

Primary practice address
151 Tabor Dr Warner Robins GA 31093-8703
Phone: (478) 461-2773
Fax: (866) 834-6096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0001295 Georgia

Profile Details

NPI number 1720493059
LBN Legal business name Thomas, Andre Allen
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2014
Last updated Jun 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720493059 NPPES
Georgia MEDICAID 003144996A

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