Basic Information
| Provider Information | |||||||||
| NPI: | 1841488319 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | THOMAS | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | STEPHEN | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.A, LCMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18 AMERSHAM LN | ||||||||
| Address2: | |||||||||
| City: | FLETCHER | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287329244 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8283374688 | ||||||||
| FaxNumber: | 8282580038 | ||||||||
| Practice Location | |||||||||
| Address1: | 840 FLEMING ST STE 5 | ||||||||
| Address2: | |||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287913541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285952746 | ||||||||
| FaxNumber: | 8285952716 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2007 | ||||||||
| LastUpdateDate: | 08/07/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 5585 | NC | N | Behavioral Health & Social Service Providers | Counselor | Professional | 101YS0200X | 5585 | NC | N | Behavioral Health & Social Service Providers | Counselor | School | 101YM0800X | 5585 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.