Provider Demographics
NPI:1073816138
Name:THAMES, SHIRLEY DOSS (LCSW)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:DOSS
Last Name:THAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 LINDEN AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2531
Mailing Address - Country:US
Mailing Address - Phone:205-871-2007
Mailing Address - Fax:205-871-2014
Practice Address - Street 1:2910 LINDEN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-2531
Practice Address - Country:US
Practice Address - Phone:205-871-2007
Practice Address - Fax:205-871-2014
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0490C1041C0700X
AL255-0490C PIP1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical