Healthcare Provider Details

I. General information

NPI: 1487830501
Provider Name (Legal Business Name): ARLENE THOMPSON LPCC , RN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2008
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 NORTHWEST BLVD SUITE 100
COLUMBUS OH
43212-1197
US

IV. Provider business mailing address

1920 NORTHWEST BLVD SUITE 100
COLUMBUS OH
43212-1197
US

V. Phone/Fax

Practice location:
  • Phone: 614-486-4272
  • Fax: 614-488-0710
Mailing address:
  • Phone: 614-486-4272
  • Fax: 614-488-0710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN 097197, NS-02463
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0001553
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: