Provider Demographics
NPI:1134229420
Name:JONES, THOMAS LAMONT (PHD LPC-S LMSW NBCC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LAMONT
Last Name:JONES
Suffix:
Gender:M
Credentials:PHD LPC-S LMSW NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2052 ALLENA LANE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502
Mailing Address - Country:US
Mailing Address - Phone:254-699-4743
Mailing Address - Fax:254-699-4743
Practice Address - Street 1:3210 LAKE INKS AVENUE, LAKE INKS PROFESSIONAL SERVICES
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543
Practice Address - Country:US
Practice Address - Phone:254-368-6177
Practice Address - Fax:254-935-3317
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0000326104100000X
TX11609101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker