Individual
SHEME THORNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5345 CUMBERLAND WAY, STONE MOUNTAIN, GA 30087-4212
(678) 698-5306
Mailing address
8428 N 106TH ST, MILWAUKEE, WI 53224-2302
14143134346
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15871-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
899
GA
101YM0800X
Mental Health Counselor
Primary
3746-226
WI
174400000X
Specialist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073940
—
WI
Enumeration date
06/26/2017
Last updated
04/12/2018
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