Healthcare Provider Details

I. General information

NPI: 1245866029
Provider Name (Legal Business Name): ELESHIA BEST THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2020
Last Update Date: 03/12/2020
Certification Date: 03/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 E LEXINGTON ST
BALTIMORE MD
21202-1718
US

IV. Provider business mailing address

7118 UPPER MILLS CIR
CATONSVILLE MD
21228-2415
US

V. Phone/Fax

Practice location:
  • Phone: 443-708-5699
  • Fax:
Mailing address:
  • Phone: 443-865-6210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: