Provider Demographics
NPI:1427289230
Name:DUKES, THOMAS B (LMHC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:B
Last Name:DUKES
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 1:380 CANAL PT N APT 239
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-1889
Mailing Address - Country:US
Mailing Address - Phone:561-573-6174
Mailing Address - Fax:
Practice Address - Street 1:440 S FEDERAL HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4114
Practice Address - Country:US
Practice Address - Phone:561-573-6174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health