Provider Demographics
NPI:1093425746
Name:THOMPSON THERAPEUTIC COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:THOMPSON THERAPEUTIC COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-227-0342
Mailing Address - Street 1:3639 WALDROP FARMS DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-7305
Mailing Address - Country:US
Mailing Address - Phone:404-227-0342
Mailing Address - Fax:470-481-1863
Practice Address - Street 1:278 W MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3039
Practice Address - Country:US
Practice Address - Phone:678-541-5656
Practice Address - Fax:470-481-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health