Tisha Thompson is a Counselor in Bowling Green, Kentucky. Tisha Thompson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tisha Thompson is 1700996113. The last update date is 2017-12-21.
Tisha Thompson's current location address is 380 Suwannee Trail St, Bowling Green, Kentucky. You can contact this provider via phone number 2709015000 and fax number 2708425268. The mailing address for Tisha Thompson is 380 Suwannee Trail St, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tisha Thompson |
|---|---|
| Address | 380 Suwannee Trail St, Bowling Green, Kentucky |
| Phone Number | 2709015000 |
| Fax Number | 2708425268 |
| Sole Proprietor | N |
| Credentials | LPA |
NPI Number Detail
| NPI Number | 1700996113 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2017-12-21 |
Provider Mailing Address Detail
| Address | 380 Suwannee Trail St |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421037956 |
| Phone Number | 2709015000 |
| Fax Number | 2708425268 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 135886 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30604011 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tisha Thompson by the Centers for Medicare & Medicaid Services?
The Tisha Thompson has been issued the NPI (National Provider Identifier) 1700996113 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Tisha Thompson is geographically located?
The Tisha Thompson is physically situated at the following location: 380 Suwannee Trail St, Bowling Green, KY, 421037956.
What is Tisha Thompson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tisha Thompson is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
When did the Tisha Thompson receive its 1700996113?
The Tisha Thompson was issued its 1700996113 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
When was the information regarding Tisha Thompson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tisha Thompson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-12-21.