Healthcare Provider Details

I. General information

NPI: 1467373159
Provider Name (Legal Business Name): RACLAIRE SHERI THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 S WILSON AVE
PRICHARD AL
36610-3905
US

IV. Provider business mailing address

229 S WILSON AVE
PRICHARD AL
36610-3905
US

V. Phone/Fax

Practice location:
  • Phone: 251-499-0032
  • Fax:
Mailing address:
  • Phone: 251-499-0032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: