Marlisha Lorraine Thomas

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144002 Issued in TX

Practice address

7777 Forest LN Ste C833
Dallas, TX 75230-2591

Phone

(972) 566-4591

Fax

(972) 566-6679

NPI assigned

Nov 14, 2019

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marlisha's Mental Fitness LLC

  dba Mind Haven

  • Psychiatric/Mental Health Nurse Practitioner
  • Forney, TX
  • NPI 1831841626
  Authorized official Same address or phone
• Joel a. Holiner, MD PA

  dba Holiner Psychiatric Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1346259645
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1619512662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 YARBOROUGH DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263391",
            "telephone_number": "662-440-0301",
            "fax_number": "469-242-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C833",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302591",
            "telephone_number": "972-566-4591",
            "fax_number": "972-566-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARLISHA",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPACT LICENSE(RN)",
            "identifier": "894032",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP144002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lia Andrea Thomas, MD
• Lila Thomas
• Lincy Thomas, MD
• Margaret Tilden Thomas, LCSW
• Maria Thomas, NP-C
• Mary L. Thomas, PT
• Melanie Thomas, APRN
• Meredith Thomas, PA-C
• Mika R Thomas, M.D.
• Milton Dean Thomas, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.