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NPI Code Detail

MEDICARE: CHARIS OLIVIA THOMPSON LPC

MEDICARE: CHARIS OLIVIA THOMPSON LPC
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
1101YP2500XProfessional CounselorLPC.0016846CO
2101YM0800XMental Health Counselor100089-01NY

General Provider Information

NPI Number : 1730648684
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARIS OLIVIA THOMPSON LPC
Provider Business Mailing Address
First Line : 530 FRANKLIN ST
Second Line :
City : SCHENECTADY
State : NY
Zip : 12305-2008
Country : US
Telephone Number : 518-381-8911
Fax Number : 518-377-4292
Provider Business Practice Location Address
First Line : 1330 INVERNESS DR STE 400
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3739
Country : US
Telephone Number : 970-310-3406
Fax Number : 888-965-4615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2019
Last Update Date : 02/20/2024

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Directions to “ CHARIS OLIVIA THOMPSON LPC” Practice Location

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