Provider Demographics
NPI:1245434000
Name:GILBERT, THOMAS EMORY (LMFT)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:EMORY
Last Name:GILBERT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7668 EL CAMINO REAL # 104-155
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-7932
Mailing Address - Country:US
Mailing Address - Phone:760-208-7105
Mailing Address - Fax:
Practice Address - Street 1:31493 RANCHO PUEBLO RD STE 203
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-4833
Practice Address - Country:US
Practice Address - Phone:951-302-0200
Practice Address - Fax:951-302-6225
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
CA50095106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator