Provider Demographics
NPI:1184034860
Name:THOMPSON, SHARON (LMHC, PHD, RPT)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMHC, PHD, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6866 PINE FOREST RD STE A
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-6903
Mailing Address - Country:US
Mailing Address - Phone:850-760-2300
Mailing Address - Fax:850-760-2301
Practice Address - Street 1:6866 PINE FOREST RD STE A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526-6903
Practice Address - Country:US
Practice Address - Phone:850-670-2300
Practice Address - Fax:850-670-2301
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
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