Healthcare Provider Details

I. General information

NPI: 1164327326
Provider Name (Legal Business Name): BILLIE COLLEEN THOMPSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 LAMOILLE HWY STE 731
ELKO NV
89801-8313
US

IV. Provider business mailing address

PO BOX 1192
CARLIN NV
89822-1192
US

V. Phone/Fax

Practice location:
  • Phone: 775-927-8300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12384-M
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: