Provider Demographics
NPI:1033147988
Name:THOMAS, SHARLENA CLAY (LPC, LCAS, CCS)
Entity Type:Individual
Prefix:
First Name:SHARLENA
Middle Name:CLAY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPC, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 CLIMBING ASTER WAY
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-8842
Mailing Address - Country:US
Mailing Address - Phone:828-450-3207
Mailing Address - Fax:
Practice Address - Street 1:84 COXE AVE STE 1B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4168
Practice Address - Country:US
Practice Address - Phone:828-253-5013
Practice Address - Fax:828-285-9679
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5151101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103083Medicaid