Healthcare Provider Details

I. General information

NPI: 1215126099
Provider Name (Legal Business Name): JAMONICA TONIA THOMPSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 ALTMORE AVE STE 200
SANDY SPRINGS GA
30342-2495
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 678-426-2930
  • Fax: 404-256-2795
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC011286
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: