Thao, Amos

Thao, Amos is an individual health care provider with primary practice located at 3860 Monroe Rd , De Pere WI 54115-8399. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Thao, Amos can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3860 Monroe Rd De Pere WI 54115-8399
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 10882-125 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10882-125 Wisconsin

Profile Details

NPI number 1295493245
LBN Legal business name Thao, Amos
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2021
Last updated Mar 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295493245 NPPES
Wisconsin MEDICAID 100197638

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