Healthcare Provider Details

I. General information

NPI: 1033654041
Provider Name (Legal Business Name): NORMA THOMAS LPCA, LPA, CVE, COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NORMA THOMAS LPCA, LPA, CVE, COTA

II. Dates (important events)

Enumeration Date: 12/29/2016
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1939 GOLDSMITH LN STE 260
LOUISVILLE KY
40218-3174
US

IV. Provider business mailing address

1939 GOLDSMITH LN STE 260
LOUISVILLE KY
40218-3174
US

V. Phone/Fax

Practice location:
  • Phone: 502-519-7979
  • Fax:
Mailing address:
  • Phone: 502-519-7979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number240438
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number251598
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: