Provider Demographics
NPI:1942778725
Name:THOMPSON, CHARITY K (LPC, LSATP)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:K
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LPC, LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 PROFESSIONAL RD STE 3
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3213
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2540 PROFESSIONAL RD STE 3
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-3213
Practice Address - Country:US
Practice Address - Phone:804-918-6259
Practice Address - Fax:804-918-8341
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007872101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional