Thomas, Antoinette Althea
Thomas, Antoinette Althea is an sole proprietor health care provider with primary practice located at 7102 Lounsbury Ct , Windsor Mill MD 21244-1840. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Thomas, Antoinette Althea can be contacted via phone (443) 810-6944.Contact Information
Primary practice address
7102 Lounsbury Ct
Windsor Mill MD 21244-1840
Phone: (443) 810-6944
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 641 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC4396 | Maryland |
Profile Details
| NPI number | 1841557717 |
|---|---|
| LBN Legal business name | Thomas, Antoinette Althea |
| Credentials | LCPC, MAC,NCC,CTHP I |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2012 |
| Last updated | Apr 12th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841557717 | NPPES |
| Maryland | MEDICAID | 462888495 |
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