Thomas, Justa Marie
Thomas, Justa Marie is an individual health care provider with primary practice located at 1351 Newtown Pike Bldg 1 , Lexington KY 40511-1277. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Thomas, Justa Marie can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
1351 Newtown Pike Bldg 1
Lexington KY 40511-1277
Phone: (859) 253-1686
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Health Educator | 174H00000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | Kentucky |
Profile Details
NPI number | 1083178206 |
---|---|
LBN Legal business name | Thomas, Justa Marie |
Credentials | LPCA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2019 |
Last updated | May 16th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083178206 | NPPES |
Kentucky | MEDICAID | 1790731081 |
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