Provider Demographics
NPI:1336270610
Name:THOMAS, NANCY RAJAN (LPC)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:RAJAN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14802 FLINT BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-7065
Mailing Address - Country:US
Mailing Address - Phone:281-250-9545
Mailing Address - Fax:
Practice Address - Street 1:1011 HIGHWAY 6 S STE 314
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1040
Practice Address - Country:US
Practice Address - Phone:281-498-4673
Practice Address - Fax:281-498-4671
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16619101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional