Individual provider · Type 1 NPI

Shatoria Tyshon Thomas, LCMHCA, LCASA

Professional Counselor · Charlotte, NC

NPI number 1790299295 Active

Practice location

429 Billingsley Rd
Charlotte, NC 28211-1007

Call (704) 445-6900 Map

Mailing address

100 Billingsley Rd
Charlotte, NC 28211-1002

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-22433 (NC)
Mental Health Counselor 101YM0800XA13369 (NC)
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1790299295

Shatoria Tyshon Thomas, LCMHCA, LCASA's National Provider Identifier is 1790299295, issued on Nov 21, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Mar 20, 2020.