Provider Demographics
NPI:1487830501
Name:THOMPSON, ARLENE (LPCC , RN-CNS)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LPCC , RN-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 NORTHWEST BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1197
Mailing Address - Country:US
Mailing Address - Phone:614-486-4272
Mailing Address - Fax:614-488-0710
Practice Address - Street 1:1920 NORTHWEST BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-1197
Practice Address - Country:US
Practice Address - Phone:614-486-4272
Practice Address - Fax:614-488-0710
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0001553101YP2500X
OHRN 097197, NS-02463364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist