Healthcare Provider Details

I. General information

NPI: 1114761913
Provider Name (Legal Business Name): THOMPSON AND THOMPSON CONSULTING FIRM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 FAIRVIEW RD # 427
CHARLOTTE NC
28210-3102
US

IV. Provider business mailing address

8326 PINEVILLE MATTHEWS RD UNIT 470082
CHARLOTTE NC
28247-7002
US

V. Phone/Fax

Practice location:
  • Phone: 704-794-3587
  • Fax:
Mailing address:
  • Phone: 704-794-3587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMARA THOMPSON
Title or Position: THERAPIST/CO-OWNER
Credential: LCSWA
Phone: 757-805-6976