Provider Demographics
NPI:1275625733
Name:COLE, MARGARET THOMPSON (MA, CRC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:THOMPSON
Last Name:COLE
Suffix:
Gender:F
Credentials:MA, CRC
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:THOMPSON
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CRC
Mailing Address - Street 1:4167 EAGLE WATCH BLVD
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-3318
Mailing Address - Country:US
Mailing Address - Phone:727-787-8606
Mailing Address - Fax:
Practice Address - Street 1:4425 PARK BLVD
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3540
Practice Address - Country:US
Practice Address - Phone:727-547-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health