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NPI Code Detail

MEDICARE: LAKEISHA THOMAS PLLC

MEDICARE: LAKEISHA THOMAS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2251S00000XCommunity/Behavioral Health Agency
3104100000XSocial Worker

General Provider Information

NPI Number : 1184397846
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKEISHA THOMAS PLLC
Provider Business Mailing Address
First Line : 813 E MICHIGAN AVE STE 201
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-5801
Country : US
Telephone Number : 734-799-6033
Fax Number : 734-800-3208
Provider Business Practice Location Address
First Line : 813 E MICHIGAN AVE STE 201
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-5801
Country : US
Telephone Number : 734-799-6033
Fax Number : 734-800-3208
Authorized Official
Title or Position : OWNER
Name : LAKEISHA THOMAS
Credential : MSW
Telephone Number : 734-799-6033
Provider Enumeration Date : 07/28/2021
Last Update Date : 05/23/2023

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Directions to “LAKEISHA THOMAS PLLC ” Practice Location

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