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:F
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:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X, 174H00000X, 101YM0800X, 101YA0400X, 171M00000X
OH174N00000X, 171400000X
OHDOU000080374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator