| Enrica Thomas, Lmft | |
|
1400 Envoy Cir Ste 1408 Louisville KY 40299-2895 | |
| (502) 200-4992 | |
| Not Available |
| Full Name | Enrica Thomas, Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1400 Envoy Cir Ste 1408, Louisville, Kentucky |
| Authorized Official Name and Position | Enrica Thomas (CEO) |
| Authorized Official Contact | 5022004992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrica Thomas, Lmft Po Box 664 Hillview KY 40129-0664 Ph: (502) 200-4992 | Enrica Thomas, Lmft 1400 Envoy Cir Ste 1408 Louisville KY 40299-2895 Ph: (502) 200-4992 |
| NPI Number | 1073974416 |
|---|---|
| Provider Enumeration Date | 03/13/2016 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 6103256458 |
|---|---|
| Medicare Enrollment ID | O20200428002229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073974416 | NPI | - | NPPES |
| 7100430740 | Medicaid | KY | |
| 7100299920 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 105238 (Kentucky) | Primary |
| Provider Name | Enrica T Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306173737 PECOS PAC ID: 7911337266 Enrollment ID: I20200428002259 |
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