Doctor Name: | ASHELI M THOMPSON |
NPI Number: | 1053691360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 8985 |
Business Practice Address: | 478 Williamson Rd Ste 101 Suite 101 Mooresville, NC - 281178192 |
Business Phone Number: | 7047562263 |
Business Fax Number: | |
Mailing Address: | 310 Queens Cove Rd, MOORESVILLE |
State: | NC |
Postal Code: | 281179619 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 8985 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |