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NPI 1033980024

NPI 1033980024 : THOMPSON COUNSELING AND FAMILY THERAPY, PLLC : ALLEN, TX

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General NPI Number Information
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    NPI Number           |    1033980024
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    Entity Type          |    Organization 
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    Legal Business Name  |    THOMPSON COUNSELING AND FAMILY THERAPY, PLLC 
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Dates
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    Enumeration Date     |    01/10/2024
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    Last Update Date     |    01/10/2024
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Provider Practice Location Address
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    Address Line         |    1514 N GREENVILLE AVE STE 310 
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    City                 |    ALLEN
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    State                |    TX
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    Zip                  |    75002-1205
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    Country              |    US
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    Telephone            |    972-679-2167
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2002 CHAMBERSVILLE RD 
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    City                 |    CELINA
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    State                |    TX
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    Zip                  |    75009-4915
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    Country              |    US
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    Telephone            |    972-679-2167
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. CAROL ELISE THOMPSON 
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    Credential           |    PHD. LMFT-S
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    Telephone            |    972-679-2167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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