Provider Demographics
NPI:1629323100
Name:THOMAS, SHARNECE AYANA (NCC, LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:SHARNECE
Middle Name:AYANA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NCC, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3975 UNIVERSITY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2534
Mailing Address - Country:US
Mailing Address - Phone:703-401-8717
Mailing Address - Fax:
Practice Address - Street 1:3975 UNIVERSITY DR STE 210
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2534
Practice Address - Country:US
Practice Address - Phone:703-267-5704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2021-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006592101YP2500X
MDLC8260101YP2500X
VA0701007091101YP2500X
FLMH11326101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health