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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093994949 NPPES
Maryland MEDICAID 444105200

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