Provider Demographics
NPI:1083366405
Name:INSIDE THOUGHTS COUNSELING AND CONSULTING, LLC.
Entity Type:Organization
Organization Name:INSIDE THOUGHTS COUNSELING AND CONSULTING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YASHIKA
Authorized Official - Middle Name:TIARA
Authorized Official - Last Name:FOMBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-591-7558
Mailing Address - Street 1:1503 CAMELLIA CIR NE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-9603
Mailing Address - Country:US
Mailing Address - Phone:256-591-7558
Mailing Address - Fax:256-364-4108
Practice Address - Street 1:1317 WILMER AVE STE 107
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4655
Practice Address - Country:US
Practice Address - Phone:256-591-7558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty