Doctor Name: | ELIZABETH MARIE THOMAS |
NPI Number: | 1104056753 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, NCC, LPC |
License Number: | 7456 |
Business Practice Address: | 1241 N Road St #a Elizabeth City, NC - 279093335 |
Business Phone Number: | 2523319576 |
Business Fax Number: | 2523355365 |
Mailing Address: | Po Box 1414, ELIZABETH CITY |
State: | NC |
Postal Code: | 279061414 |
Phone Number: | 2523319576 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2009 |
NPI Last Update Date: | 06/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |