Provider Demographics
NPI:1487774014
Name:THOMAS, AMIE CATHERINE (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:CATHERINE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9200 BONITA BEACH RD SE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4280
Mailing Address - Country:US
Mailing Address - Phone:239-898-2271
Mailing Address - Fax:239-244-9266
Practice Address - Street 1:9200 BONITA BEACH RD SE
Practice Address - Street 2:SUITE 212
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4280
Practice Address - Country:US
Practice Address - Phone:239-898-2271
Practice Address - Fax:239-244-9266
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health