Provider Demographics
NPI:1639555758
Name:THOMAS, KARLA (MA, LLMFT, DP-C)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MA, LLMFT, DP-C
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1321 S FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-1447
Mailing Address - Country:US
Mailing Address - Phone:989-792-8000
Mailing Address - Fax:989-792-8445
Practice Address - Street 1:3400 S WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-4958
Practice Address - Country:US
Practice Address - Phone:989-755-1072
Practice Address - Fax:989-755-1401
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006646101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)