Doctor Name: | MS. MITCHELL THOMPSON |
NPI Number: | 1013201698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | P009360 |
Business Practice Address: | 233 Godwin Ave Lumberton, NC - 283402226 |
Business Phone Number: | 9107398848 |
Business Fax Number: | |
Mailing Address: | 111 27th St, LUMBERTON |
State: | NC |
Postal Code: | 283582226 |
Phone Number: | 9100000000 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2011 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P009360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |