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Search › Michigan › 103TC0700X

Anthony Thibodeaux, TLLP

NPI 1033025721 · on the registry since 2026 · sole proprietor

Practice

Address
496 W Ann Arbor Trl Ste 106
Plymouth, MI 48170
Phone
(734) 392-4130
Organisation at this address
Cristina Defiore
Alyssia Carmona Llc
Michigan Life Medicine
Inpsychful Wellness Llc
The Nourished Self, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan