Provider Demographics
NPI:1144535816
Name:THOMAS, SUNIL SAMUEL (LMHC)
Entity type:Individual
Prefix:
First Name:SUNIL
Middle Name:SAMUEL
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 STONEMONT DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3501
Mailing Address - Country:US
Mailing Address - Phone:954-854-4692
Mailing Address - Fax:
Practice Address - Street 1:LUIS HINES & ASSOCIATES 1250 SW 27TH AVENUE
Practice Address - Street 2:STE 402
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33135
Practice Address - Country:US
Practice Address - Phone:305-642-5255
Practice Address - Fax:305-642-8850
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7951101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health