Provider Demographics
NPI:1457047201
Name:THOMPSON THERAPEUTIC AND TRANSITION SERVICES, LLC
Entity Type:Organization
Organization Name:THOMPSON THERAPEUTIC AND TRANSITION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:HILL-THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-843-6458
Mailing Address - Street 1:PO BOX 741103
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33474-1103
Mailing Address - Country:US
Mailing Address - Phone:561-843-6458
Mailing Address - Fax:
Practice Address - Street 1:6171 HOOK LN
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-4175
Practice Address - Country:US
Practice Address - Phone:561-843-6458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty