SearchMissouri101YA0400X

Diana Thomas, MAADAC1, CPS

NPI 1023747011 · on the registry since 2022 · sole proprietor

Practice

Address
2551 W Kearney St
Springfield, MO 65803
Phone
(417) 210-6025
Fax
(417) 869-4280
Organisation at this address
Bhg Xliii, Llc
Bhg Lxxiv, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri