MEDICARE: MRS. BILLIE GEAN THOMPSON MS, LPC-S, RPT-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	5603	OK
2	101YP2500X	Professional Counselor	5603	OK
3	101YM0800X	Mental Health Counselor	5603	OK

General Provider Information

NPI Number	:	1396093035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BILLIE GEAN THOMPSON MS, LPC-S, RPT-S

Provider Business Mailing Address
First Line	:	6401 BENT WOOD DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73169-6224
Country	:	US
Telephone Number	:	405-759-0303
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 BENT WOOD DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73169-6224
Country	:	US
Telephone Number	:	405-759-0303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2012
Last Update Date	:	06/03/2024

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