Healthcare Provider Details

I. General information

NPI: 1376331199
Provider Name (Legal Business Name): EMILY A THOMAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 02/22/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N MONROE ST
MONROE MI
48162-2623
US

IV. Provider business mailing address

847 SUMPTER RD # 5465
VAN BUREN TOWNSHIP MI
48111-4905
US

V. Phone/Fax

Practice location:
  • Phone: 734-203-0794
  • Fax:
Mailing address:
  • Phone: 734-735-2041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: EMILY ANN THOMAS
Title or Position: FOUNDER
Credential: LMSW
Phone: 734-203-0794