Provider Demographics
NPI:1508439621
Name:THOMPSON, VICTORIA NIKOL (MS, NCC, LCMHC-A)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:NIKOL
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS, NCC, LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4044 BATTLEGROUND AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9789
Mailing Address - Country:US
Mailing Address - Phone:252-315-4442
Mailing Address - Fax:
Practice Address - Street 1:204 MUIRS CHAPEL RD STE 322
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-6173
Practice Address - Country:US
Practice Address - Phone:336-543-0306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1249190101YS0200X
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool