Provider Demographics
NPI:1649941600
Name:THOMAS, LASHUNDA (LLMSW)
Entity type:Individual
Prefix:
First Name:LASHUNDA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 W SAGINAW HWY # I-5
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-2776
Mailing Address - Country:US
Mailing Address - Phone:616-951-1847
Mailing Address - Fax:
Practice Address - Street 1:4601 W SAGINAW HWY # I-5
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2776
Practice Address - Country:US
Practice Address - Phone:616-951-1847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011105561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical