Provider Demographics
NPI:1003408725
Name:RAINES, TOMEKIA HOLANDIA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:TOMEKIA
Middle Name:HOLANDIA
Last Name:RAINES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 DEKALB INDUSTRIAL WAY STE D-1
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2230
Mailing Address - Country:US
Mailing Address - Phone:770-866-1060
Mailing Address - Fax:
Practice Address - Street 1:270 W OAK ST STE 2
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4813
Practice Address - Country:US
Practice Address - Phone:770-866-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical