Provider Demographics
NPI:1235892852
Name:THOMAS, REGINALD SR (LCPC)
Entity Type:Individual
Prefix:DR
First Name:REGINALD
Middle Name:
Last Name:THOMAS
Suffix:SR
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BIEHL CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1200
Mailing Address - Country:US
Mailing Address - Phone:443-677-8557
Mailing Address - Fax:
Practice Address - Street 1:10 BIEHL CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1200
Practice Address - Country:US
Practice Address - Phone:443-677-8557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP11895101YP2500X
MDLC13625101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional