Provider Demographics
NPI:1972797918
Name:THOMAS, JUDY D (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 RHODES AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-2926
Mailing Address - Country:US
Mailing Address - Phone:516-385-6747
Mailing Address - Fax:718-245-2574
Practice Address - Street 1:451 CLARKSON AVE.
Practice Address - Street 2:'N' BLDG. ROOM 104
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-0000
Practice Address - Country:US
Practice Address - Phone:718-245-4967
Practice Address - Fax:718-245-2574
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003890101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health