Individual
MS. AMY L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
115 LOGAN DR, SUMMERVILLE, SC 29483-3010
(843) 291-8404
(843) 326-4799
Mailing address
115 LOGAN DR, SUMMERVILLE, SC 29483-3010
(864) 933-8624
(843) 326-4799
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6514
SC
101YM0800X
Mental Health Counselor
5707
SC
101YM0800X
Mental Health Counselor
6514
SC
101YP2500X
Professional Counselor
Primary
6514
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
10/02/2013
Last updated
03/11/2023
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