SHATORIA TYSHON THOMAS (NPI# 1790299295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790299295 |
Entity Type | Individual |
Full Name | SHATORIA TYSHON THOMAS |
Credential | LCMHCA, LCASA |
Practice Address |
429 Billingsley Rd Charlotte NC 28211-1007 |
Mailing Address |
100 Billingsley Rd Charlotte NC 28211-1002 |
Practice Telephone | 7044456900 |
Mailing Telephone | 7043767447 |
Enumeration Date | 2017-11-21 |
Last Update Date | 2020-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-22433 | NC | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
A13369 | NC | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6900 Farmingdale Dr, Charlotte, NC 282125551 | 7043238177 |
Street Address |
429 BILLINGSLEY RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013009117 | Tony Ray Beatty | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2006-09-28 |
1538776166 | Janaesia Floyd | Social Worker | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2020-09-28 |
1508498445 | Kristen Snyder | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2020-02-09 |
1447725718 | Elliot Austin | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2018-10-12 |
1114492659 | Tyra Mcrae | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2018-10-11 |
1811486632 | Christina Brown | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2018-05-07 |
1154823888 | Heather Faye Hicks | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2018-03-08 |
1306350004 | Brooke Ashely Vedel | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2017-11-17 |
1720590466 | Hakim Johnson | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2017-11-03 |
1427569276 | Julian B Williams | Counselor | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2017-10-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
1952925141 | Leanna R Rice | Counselor | 6015 Glendale Chase Ct Apt 302, Charlotte, NC 28217-0077 | 2020-06-03 |
1902429772 | Sunshine Care LLC | Counselor | 2108 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4215 | 2020-05-27 |
1194348557 | Immerse & Emerge Counseling | Counselor | 10617 Kettering Dr Ste 113, Charlotte, NC 28226-4900 | 2020-05-20 |
1477174464 | Oliver's Contracting, Consulting, & Counseling Services, Pllc | Counselor | 4108 Park Rd Ste 408, Charlotte, NC 28209-2262 | 2020-04-30 |
1720619679 | John Wesley Goodwin IIi | Counselor | 5015 Stowe Derby Dr, Charlotte, NC 28278-7377 | 2020-01-30 |
1063059731 | Justina Mame Adadewa Ankrah | Counselor | 3001 Buckleigh Dr, Charlotte, NC 28215-7538 | 2019-12-02 |
1538704051 | Hattie M Williams | Counselor | 7517 Orr Rd, Charlotte, NC 28213-6544 | 2019-11-07 |
1720623390 | Maylee Vazquez | Counselor | 201 Stetson Dr, Charlotte, NC 28262-3364 | 2019-11-07 |
1053955468 | Hollis Wilson | Counselor | 6715a Fairview Rd Ste 102, Charlotte, NC 28210-3323 | 2019-10-30 |
Find all providers in CHARLOTTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.