Thomas, Keyona Shantrice
Thomas, Keyona Shantrice is an sole proprietor health care provider with primary practice located at 9701 Apollo Dr Ste 100 , Largo MD 20774-4785. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Thomas, Keyona Shantrice can be contacted via phone (240) 283-5595.Contact Information
Primary practice address
9701 Apollo Dr Ste 100
Largo MD 20774-4785
Phone: (240) 283-5595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC2555 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PRC13986 | District of Columbia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701008086 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810007740 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY200001288 | District of Columbia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 07013 | Maryland |
Profile Details
| NPI number | 1093994949 |
|---|---|
| LBN Legal business name | Thomas, Keyona Shantrice |
| Credentials | PSY.D., MA, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Oct 6th, 2023 - about last year |
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 | 1093994949 | NPPES |
| Maryland | MEDICAID | 444105200 |
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