Provider Demographics
NPI:1033654041
Name:THOMAS, NORMA (LPCA, LPA, CVE, COTA)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPCA, LPA, CVE, COTA
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCA, LPA, CVE, COTA
Mailing Address - Street 1:1939 GOLDSMITH LN STE 260
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-3174
Mailing Address - Country:US
Mailing Address - Phone:502-519-7979
Mailing Address - Fax:
Practice Address - Street 1:1939 GOLDSMITH LN STE 260
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-3174
Practice Address - Country:US
Practice Address - Phone:502-519-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-29
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY240438103TC1900X
KY171R00000X
KY251598101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No171R00000XOther Service ProvidersInterpreter