Provider Demographics
NPI:1851103212
Name:THOMAS, TANYA CHRISTINE (MS, CIT)
Entity type:Individual
Prefix:MS
First Name:TANYA
Middle Name:CHRISTINE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MS, CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEBB CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64870-2379
Mailing Address - Country:US
Mailing Address - Phone:417-291-6067
Mailing Address - Fax:
Practice Address - Street 1:30 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WEBB CITY
Practice Address - State:MO
Practice Address - Zip Code:64870-2379
Practice Address - Country:US
Practice Address - Phone:417-291-6067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional