Provider Demographics
NPI:1265989107
Name:THOMAS, LASHANTE' (MENTAL HEALTH)
Entity type:Individual
Prefix:
First Name:LASHANTE'
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MENTAL HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4928 WOOD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-6675
Mailing Address - Country:US
Mailing Address - Phone:504-451-3571
Mailing Address - Fax:
Practice Address - Street 1:4928 WOOD FOREST DR
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-6675
Practice Address - Country:US
Practice Address - Phone:504-451-3571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health