Provider Demographics
NPI:1750008470
Name:THOMAS, MARTHA MCELREATH (LPC)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:MCELREATH
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 JEWELL DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6624
Mailing Address - Country:US
Mailing Address - Phone:254-495-8778
Mailing Address - Fax:
Practice Address - Street 1:719 JEWELL DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6624
Practice Address - Country:US
Practice Address - Phone:254-495-8778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health