Individual
MS. CHALITA N THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7051 HEATHCOTE VLG WAY SUITE 115, LIFESTANCE HEALTH, GAINESVILLE, VA 20155
(804) 207-6737
(703) 655-7686
Mailing address
7051 HEATHCOTE VILLAGE WAY STE 115, GAINESVILLE, VA 20155-3197
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011987
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017646780001
—
VA
Enumeration date
11/30/2022
Last updated
11/28/2023
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