Healthcare Provider Details

I. General information

NPI: 1598679623
Provider Name (Legal Business Name): EMMA THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1290 MAIN ST STE B
DAPHNE AL
36526-8624
US

IV. Provider business mailing address

253 FIG AVE
FAIRHOPE AL
36532-1430
US

V. Phone/Fax

Practice location:
  • Phone: 251-625-0118
  • Fax: 251-625-0116
Mailing address:
  • Phone: 251-625-0118
  • Fax: 251-625-0116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: