Provider Demographics
NPI:1871185868
Name:GUY, THOMAS FRANKLIN II
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:FRANKLIN
Last Name:GUY
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20121 63RD AVE E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-3201
Mailing Address - Country:US
Mailing Address - Phone:253-722-7267
Mailing Address - Fax:
Practice Address - Street 1:20311 OLD HIGHWAY 9 SW
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-9620
Practice Address - Country:US
Practice Address - Phone:360-584-5706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-10
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker