SearchVirginia1041C0700X

Antaysia Thomas, LCSW

NPI 1871061754 · on the registry since 2018

Practice

Address
10908 Courthouse Rd Ste 102149
Fredericksburg, VA 22408
Phone
(540) 210-7624
Fax
(833) 520-1508
Organisation at this address
Youth Life Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
MD, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-21

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 Virginia