Provider Demographics
NPI:1376851626
Name:THOMAS, ALFRED JR (LPC)
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:
Last Name:THOMAS
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 HIGHWAY 378 STE 1001007
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-8365
Mailing Address - Country:US
Mailing Address - Phone:803-995-0933
Mailing Address - Fax:
Practice Address - Street 1:851 HIGHWAY 378 STE 1001007
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-8365
Practice Address - Country:US
Practice Address - Phone:803-995-0933
Practice Address - Fax:877-552-2164
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0135848101Y00000X
IDMBTCOU-10130101Y00000X
WALH61571448101YM0800X
FLTPMC4571101YM0800X
GALPC015047101YP2500X
SC5746101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health