Provider Demographics
NPI:1467142307
Name:THOMPSON, EARKAYLA (LMSW)
Entity Type:Individual
Prefix:
First Name:EARKAYLA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 STADIUM TRACE PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4525
Mailing Address - Country:US
Mailing Address - Phone:205-861-6419
Mailing Address - Fax:205-860-9850
Practice Address - Street 1:5330 STADIUM TRACE PKWY STE 320
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4525
Practice Address - Country:US
Practice Address - Phone:205-861-6419
Practice Address - Fax:205-860-9850
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5605G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker