Thompson, Tina Nicole
Thompson, Tina Nicole is an individual health care provider with primary practice located at 2949 Crouse Ln Ste 200 , Burlington NC 27215-9351. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Tina Nicole can be contacted via phone (336) 270-6896.Contact Information
Primary practice address
2949 Crouse Ln Ste 200
Burlington NC 27215-9351
Phone: (336) 270-6896
Fax: (336) 270-8066
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003124 | North Carolina |
Profile Details
NPI number | 1356515027 |
---|---|
LBN Legal business name | Thompson, Tina Nicole |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2008 |
Last updated | Jul 5th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356515027 | NPPES |
North Carolina | MEDICAID | 6002354 |
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