Organization
TRACY W THOMAS, LPC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY WAYNE THOMAS LPC-S (LICENSED PROFESSIONAL COUNSELOR)
(903) 407-9701
Entity
Organization
Contact information
Practice address
301 N ALAMO BLVD, MARSHALL, TX 75670-3455
(903) 407-9701
(888) 845-9293
Mailing address
301 N ALAMO BLVD, MARSHALL, TX 75670-3455
(903) 407-9701
(888) 845-9293
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
19851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176240301
—
TX
Enumeration date
01/12/2016
Last updated
01/12/2016
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