Healthcare Provider Details

I. General information

NPI: 1003241035
Provider Name (Legal Business Name): THOMAS-PEEPLES & ASSOCIATES, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 09/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 DENNIS DR
LEXINGTON KY
40503-2917
US

IV. Provider business mailing address

106 DENNIS DR
LEXINGTON KY
40503-2917
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-4775
  • Fax: 859-373-0018
Mailing address:
  • Phone: 859-278-4775
  • Fax: 859-373-0018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number618
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number443
License Number StateKY

VIII. Authorized Official

Name: WILMA PEEPLES
Title or Position: DIRECTOR
Credential: LCSW
Phone: 859-278-4775