Provider Demographics
NPI:1740027275
Name:WEERAKKODY, THILINI NIKESHALA (MS, MHC-LP)
Entity type:Individual
Prefix:
First Name:THILINI
Middle Name:NIKESHALA
Last Name:WEERAKKODY
Suffix:
Gender:F
Credentials:MS, MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:948 NEW YORK AVE APT 4C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-3887
Mailing Address - Country:US
Mailing Address - Phone:919-951-8444
Mailing Address - Fax:
Practice Address - Street 1:948 NEW YORK AVE APT 4C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-3887
Practice Address - Country:US
Practice Address - Phone:919-951-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health