Provider Demographics
NPI:1477020212
Name:THOMAS, STEPHEN CHRISTOPHER (LPC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:CHRISTOPHER
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2250
Mailing Address - Country:US
Mailing Address - Phone:419-526-5523
Mailing Address - Fax:419-526-5525
Practice Address - Street 1:1066 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-2250
Practice Address - Country:US
Practice Address - Phone:419-526-5523
Practice Address - Fax:419-526-5525
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1400615101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health