Doctor Name: | SHELIA THURMAN |
NPI Number: | 1215320569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CSW002544 |
Business Practice Address: | 400 Main St Cottage 1 St Simons Island, GA - 315221600 |
Business Phone Number: | 9124341400 |
Business Fax Number: | 8884599707 |
Mailing Address: | 400 Main St, Cottage 1 ST SIMONS ISLAND |
State: | GA |
Postal Code: | 315221600 |
Phone Number: | 9124341400 |
Fax Number: | 8884599707 |
NPI Enumeration Date: | 03/11/2015 |
NPI Last Update Date: | 03/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW002544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |