Raven Dashaun Thomas
Individual provider Active NPI Mental Health Counselor · Yazoo City, MS
NPI 1891404620 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1891404620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 635 W Willie Morris Pkwy
Yazoo City, MS 39194-7702 - Phone
- (662) 746-5712
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Yazoo Mental Health Service | Current |
Accepting new patients |
Locations
635 W Willie Morris Pkwy
Yazoo City, MS 39194
Phone (662) 746-5712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
635 W Willie Morris Pkwy
Yazoo City, MS 39194-7702
Mailing address
635 W Willie Morris Pkwy
Yazoo City, MS 39194-7702
Phone (662) 746-5712
Other providers in Yazoo City, MS
- Susan Taylor
- Walter Theodore Taylor
- The Rainbow Children'S Clinic
- The Village Adult Daycare, Inc.
- Courtney Nikia Thomas
- Sarah R Thurmon
- Timothy J Trammell
- Ericka Travis
- Cynthia Tyner
- Katherine Usellis
All providers in Yazoo City, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.