Provider Demographics
NPI:1689445579
Name:APARICIO, THALIA ISABEL (LCMHCA)
Entity Type:Individual
Prefix:MRS
First Name:THALIA
Middle Name:ISABEL
Last Name:APARICIO
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8917 TREYBURN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-1779
Mailing Address - Country:US
Mailing Address - Phone:336-343-9022
Mailing Address - Fax:
Practice Address - Street 1:10210 HICKORYWOOD HILL AVE STE 130
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3345
Practice Address - Country:US
Practice Address - Phone:704-997-5397
Practice Address - Fax:704-840-1176
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19530101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health