La Troll S. Thomas | Conyers, GA • PECOS Search

La Troll S. Thomas

Counselor

Behavioral Health & Social Service Providers

1805 Over Lake Dr SE Ste D, Conyers, GA 30013-1790

PECOS Enrollment

Based on the most recent information from CMS, provider La Troll S. Thomas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1487803037
Provider Type
Individual
Full Name
Thomas, La Troll S.
Title
Mrs.
Credential
LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/18/2008
Last Updated
12/1/2024

Contact Information

Practice Location

1805 Over Lake Dr SE Ste D, Conyers, GA 30013-1790

Unlisted Fax

Mailing Location

PO Box 269, Porterdale, GA 30070-0269

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License LPC003912 Georgia