Provider Demographics
NPI:1871264150
Name:THOMPSON, ASHLEY C (LMHC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:C
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 KAKALA ST APT 1608
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-4650
Mailing Address - Country:US
Mailing Address - Phone:803-556-5146
Mailing Address - Fax:
Practice Address - Street 1:642 KAKALA ST APT 1608
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-4650
Practice Address - Country:US
Practice Address - Phone:803-556-5146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-25
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-806101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health