| Doctor Name: | MRS. DELORES THOMAS |
| NPI Number: | 1871645788 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904005125 |
| Business Practice Address: | 1613 Hardy Cash Dr Hampton, VA - 236662414 |
| Business Phone Number: | 7575952727 |
| Business Fax Number: | 7575952776 |
| Mailing Address: | 1613 Hardy Cash Dr, HAMPTON |
| State: | VA |
| Postal Code: | 236662414 |
| Phone Number: | 7575952727 |
| Fax Number: | 7575952776 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 03/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | 0904005125 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |