MEDICARE: LATOYA THOMPSON

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

General Provider Information

NPI Number	:	1841896214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA THOMPSON

Provider Business Mailing Address
First Line	:	1830 DUKE ADAM ST
Second Line	:
City	:	KANNAPOLIS
State	:	NC
Zip	:	28083-7809
Country	:	US
Telephone Number	:	203-414-0399
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 DUKE ADAM ST
Second Line	:
City	:	KANNAPOLIS
State	:	NC
Zip	:	28083-7809
Country	:	US
Telephone Number	:	203-414-0399
Fax Number	:

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

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	01/19/2026

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Directions to “ LATOYA THOMPSON ” Practice Location

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