Provider Demographics
NPI:1386488047
Name:THOMAS, CARLA MARIE (BS, CD(DONA), CLE)
Entity type:Individual
Prefix:MS
First Name:CARLA
Middle Name:MARIE
Last Name:THOMAS
Suffix:
Gender:
Credentials:BS, CD(DONA), CLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2942 BANNING RD APT 122
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-5500
Mailing Address - Country:US
Mailing Address - Phone:469-324-8417
Mailing Address - Fax:
Practice Address - Street 1:2942 BANNING RD APT 122
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-5500
Practice Address - Country:US
Practice Address - Phone:469-324-8417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X, 101YA0400X, 101YM0800X, 172V00000X, 374J00000X
OH171400000X, 174N00000X
OHDOU000080374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker
No174N00000XOther Service ProvidersLactation Consultant, Non-RN