Provider Demographics
NPI:1356466031
Name:THOMAS, JAMES PETER (LPC, MA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PETER
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 LAMONT ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-5120
Mailing Address - Country:US
Mailing Address - Phone:903-316-5057
Mailing Address - Fax:903-636-9816
Practice Address - Street 1:3205 LAMONT ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-5120
Practice Address - Country:US
Practice Address - Phone:903-316-5057
Practice Address - Fax:903-636-9816
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18129101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional