Provider Demographics
NPI:1114610870
Name:MEREDITH THOMPSON LLC
Entity Type:Organization
Organization Name:MEREDITH THOMPSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:099-038-5705
Mailing Address - Street 1:3001 S. MT. VERNON ST.
Mailing Address - Street 2:SUITE 201 #1
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223
Mailing Address - Country:US
Mailing Address - Phone:509-903-8570
Mailing Address - Fax:
Practice Address - Street 1:3001 S. MT. VERNON ST.
Practice Address - Street 2:SUITE 201 #1
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223
Practice Address - Country:US
Practice Address - Phone:509-903-8570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty