Provider Demographics
NPI:1396007969
Name:THOMPSON, ERIN MELISSA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MELISSA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:MELISSA
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:224 GREAT BRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3904
Mailing Address - Country:US
Mailing Address - Phone:757-819-6166
Mailing Address - Fax:757-819-6189
Practice Address - Street 1:224 GREAT BRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3904
Practice Address - Country:US
Practice Address - Phone:757-819-6166
Practice Address - Fax:757-819-6189
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1204030101YM0800X
VA0701006796101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health