Provider Demographics
NPI:1316101751
Name:THOMAS, LORNA ALAINA (PHD, LMHC, RD)
Entity type:Individual
Prefix:
First Name:LORNA
Middle Name:ALAINA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHD, LMHC, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 PARKVIEW PL
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-4536
Mailing Address - Country:US
Mailing Address - Phone:863-413-1800
Mailing Address - Fax:863-603-7366
Practice Address - Street 1:735 PARKVIEW PL
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-4536
Practice Address - Country:US
Practice Address - Phone:863-413-1800
Practice Address - Fax:863-603-7366
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2931251S00000X, 101YM0800X
FLCAP2285101YA0400X
FL709826133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered