Thomas, Amy L

Thomas, Amy L is an individual health care provider with primary practice located at 115 Logan Dr , Summerville SC 29483-3010. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Thomas, Amy L can be contacted via phone (843) 291-8404.

Contact Information

Primary practice address
115 Logan Dr Summerville SC 29483-3010
Phone: (843) 291-8404
Fax: (843) 326-4799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6514 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6514 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5707 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 6514 South Carolina

Profile Details

NPI number 1861829087
LBN Legal business name Thomas, Amy L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Mar 11th, 2023 - about 3 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 1861829087 NPPES
South Carolina MEDICAID 1760596480

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