Provider Demographics
NPI:1811383474
Name:THOMAS, ROBERT D (LPC, LMFT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1001
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-7001
Mailing Address - Country:US
Mailing Address - Phone:256-582-8880
Mailing Address - Fax:256-582-8890
Practice Address - Street 1:1612 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976
Practice Address - Country:US
Practice Address - Phone:256-582-8880
Practice Address - Fax:256-582-8890
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ALLPC-3871101YP2500X
ALLMFT-L466106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist