| Doctor Name: | TANYA N THOMAS |
| NPI Number: | 1245514876 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 324 E Chestnut St Coweta, OK - 744292532 |
| Business Phone Number: | 9182796565 |
| Business Fax Number: | 9182796551 |
| Mailing Address: | 12719 E 40th St Apt 812, TULSA |
| State: | OK |
| Postal Code: | 741463515 |
| Phone Number: | 9189559821 |
| Fax Number: | |
| NPI Enumeration Date: | 09/30/2011 |
| NPI Last Update Date: | 09/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |