Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Thomas Bernard Pettus, LLPC, LBSW

Individual provider Counselor · NPI 1861503112

Mr. Thomas Bernard Pettus, LLPC, LBSW is a Counselor in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

25153 Lindenwood Ln
Southfield, MI 48033-6189
Phone: (313) 702-1459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6401008172 (MI)
Social Worker Taxonomy 104100000X · Licence 6802061866 (MI)

Record details

NPI number1861503112
Entity typeIndividual (Type 1)
GenderMale
Credentials LLPC , LBSW
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJune 25, 2014

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