Healthcare Provider Details

I. General information

NPI: 1629576731
Provider Name (Legal Business Name): PRESHUSLEE THOMPSON MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2018
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2939 KENNY RD STE 125
COLUMBUS OH
43221-2467
US

IV. Provider business mailing address

2939 KENNY RD STE 125
COLUMBUS OH
43221-2467
US

V. Phone/Fax

Practice location:
  • Phone: 614-233-1062
  • Fax:
Mailing address:
  • Phone: 614-233-1062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberI.2608245
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: