Individual
DR. GARRY SCOTT THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LISW, LADAC
Contact information
Practice address
945 SAMUEL ST, LOUISVILLE, KY 40204-2458
(505) 986-6181
Mailing address
945 SAMUEL ST, LOUISVILLE, KY 40204-2458
(505) 986-6181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NM 4015
NM
1041C0700X
Clinical Social Worker
252636
KY
1041C0700X
Clinical Social Worker
Primary
I-04556
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00JL16
BLUE CROSS BLUE SHIELD NM
NM
01
—
201047679
PRESBYTERIAN INSURANCE
NM
01
—
273042 UBS
UNITED BEHAVIORAL HEALTH
NM
01
—
95266
LOVELACE HEALTH PLAN
NM
01
—
NM101176 VNM00095
VALUE OPTIONS
NM
Enumeration date
09/14/2006
Last updated
01/09/2025
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