Provider Demographics
NPI:1255178216
Name:THWAI, TAMULA (LCSW-A LCAS-A)
Entity type:Individual
Prefix:
First Name:TAMULA
Middle Name:
Last Name:THWAI
Suffix:
Gender:F
Credentials:LCSW-A LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 TATUM DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-4314
Mailing Address - Country:US
Mailing Address - Phone:252-672-8742
Mailing Address - Fax:252-638-3742
Practice Address - Street 1:1309 TATUM DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4314
Practice Address - Country:US
Practice Address - Phone:252-672-8742
Practice Address - Fax:252-638-3742
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-30097101YA0400X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)