Individual ProviderTroy Nolan ThomasCounselorBehavioral Health & Social Service ProvidersPractice Address4012 Carter St., Vidalia, LA 71373(601) 870-5868PECOS EnrollmentBased on the most recent information from CMS, provider Troy Nolan Thomas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:54 AM.Profile DetailsProvider ID1184084113Provider TypeIndividualFull NameThomas, Troy NolanTitleMr.CredentialRSWGenderMaleSole ProprietorNoEnumeration Date3/3/2016Last Updated3/3/2016Contact InformationPractice LocationPractice Address4012 Carter St., Vidalia, LA 71373Phone(601) 870-5868FaxUnlisted FaxMailing LocationMailing Address628 Concordia Pk, Vidalia, LA 71373-3730Phone(601) 870-5868FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense12108Louisiana