Individual
MR. THOMAS BERNARD PETTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC, LBS.W.
Contact information
Practice address
25153 LINDENWOOD LN, SOUTHFIELD, MI 48033-6189
(313) 702-1459
Mailing address
25153 LINDENWOOD LN, SOUTHFIELD, MI 48033-6189
(313) 702-1459
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401008172
MI
104100000X
Social Worker
6802061866
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401008172
ST OF MI-COUNSELING LICENSE
MI
01
—
6801061866
STATE LICENSE
MI
Enumeration date
08/31/2006
Last updated
06/25/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us