Individual
TAKIYAH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6952 CALICO HORIZON ST, NORTH LAS VEGAS, NV 89086-1692
(313) 703-3727
Mailing address
6952 CALICO HORIZON ST, NORTH LAS VEGAS, NV 89086-1692
(313) 703-3727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401017922
LICENSE NUMBER
MI
Enumeration date
02/15/2020
Last updated
03/20/2026
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