Provider Demographics
NPI:1225492762
Name:THOMAS, DAVID (LCADC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PERIMETER DR STE 125
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-4296
Mailing Address - Country:US
Mailing Address - Phone:866-678-8123
Mailing Address - Fax:877-679-4828
Practice Address - Street 1:600 PERIMETER DR STE 125
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-4296
Practice Address - Country:US
Practice Address - Phone:866-678-8123
Practice Address - Fax:877-679-4828
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health