Provider Demographics
NPI:1982053922
Name:THOMAS, BOBBY LOWELL (LPCC)
Entity Type:Individual
Prefix:MR
First Name:BOBBY
Middle Name:LOWELL
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 NIMITZVIEW DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4300
Mailing Address - Country:US
Mailing Address - Phone:859-802-7066
Mailing Address - Fax:513-449-2022
Practice Address - Street 1:1080 NIMITZVIEW DR STE 200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4300
Practice Address - Country:US
Practice Address - Phone:859-802-7066
Practice Address - Fax:513-449-2022
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1500377101YP2500X
OHE.1901542101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional