Provider Demographics
NPI:1598550501
Name:SKUTT, THOMAS JAMES III (PLMHP)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:JAMES
Last Name:SKUTT
Suffix:III
Gender:
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 N ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-2831
Mailing Address - Country:US
Mailing Address - Phone:531-359-6958
Mailing Address - Fax:
Practice Address - Street 1:2226 N ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-2831
Practice Address - Country:US
Practice Address - Phone:531-359-6958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14329101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health