Provider Demographics
NPI:1023494333
Name:THOMPSON, NANDITA MIRIAM (MA, LPC, NCC, RPT)
Entity type:Individual
Prefix:
First Name:NANDITA
Middle Name:MIRIAM
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA, LPC, NCC, RPT
Other - Prefix:
Other - First Name:NANDITA
Other - Middle Name:MIRIAM
Other - Last Name:RAJANAYAKAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 COLLIER RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4397
Mailing Address - Country:US
Mailing Address - Phone:812-344-3363
Mailing Address - Fax:
Practice Address - Street 1:820 N MOUNT JULIET RD STE 220
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-4186
Practice Address - Country:US
Practice Address - Phone:615-757-9983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health