Provider Demographics
NPI:1235672627
Name:THOMAS, SHONEKA
Entity Type:Individual
Prefix:
First Name:SHONEKA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8470 MORRISON RD STE A
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1913
Mailing Address - Country:US
Mailing Address - Phone:504-248-1581
Mailing Address - Fax:
Practice Address - Street 1:8470 MORRISON RD STE A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1913
Practice Address - Country:US
Practice Address - Phone:504-248-1581
Practice Address - Fax:504-248-1583
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health