Provider Demographics
NPI:1467866368
Name:ALSTON, TIKIHA SHONYETTE (LPCA, CRC)
Entity Type:Individual
Prefix:
First Name:TIKIHA
Middle Name:SHONYETTE
Last Name:ALSTON
Suffix:
Gender:F
Credentials:LPCA, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2042 WATERSTONE LN
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-2614
Mailing Address - Country:US
Mailing Address - Phone:252-532-9374
Mailing Address - Fax:336-748-3161
Practice Address - Street 1:2042 WATERSTONE LN
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-2614
Practice Address - Country:US
Practice Address - Phone:252-532-9374
Practice Address - Fax:336-748-3161
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10161101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor