Thomason, Derek Samuel

Thomason, Derek Samuel is an sole proprietor health care provider with primary practice located at 10400 Vineyard Blvd Ste A , Oklahoma City OK 73120-3830. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Thomason, Derek Samuel can be contacted via phone (501) 551-1943.

Contact Information

Primary practice address
10400 Vineyard Blvd Ste A Oklahoma City OK 73120-3830
Phone: (501) 551-1943
Fax: (405) 242-5345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6461 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X 6461 Oklahoma

Profile Details

NPI number 1013274018
LBN Legal business name Thomason, Derek Samuel
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2012
Last updated Jul 21st, 2022 - about 4 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 1013274018 NPPES
Arkansas Other P1412112 LPC
Arkansas Other 6461 LPC
Arkansas Other M1412012 LPC

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