| Doctor Name: | TINA M THOME |
| NPI Number: | 1548560626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | C-0700078 |
| Business Practice Address: | 2266 1/2 E Main St Suite E Bexley, OH - 432093910 |
| Business Phone Number: | 6144297659 |
| Business Fax Number: | |
| Mailing Address: | 5226 Greensedge Way, COLUMBUS |
| State: | OH |
| Postal Code: | 432202535 |
| Phone Number: | 6144258830 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2010 |
| NPI Last Update Date: | 10/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C-0700078 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |