Individual
LYDIA GRACE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP (TEMP)
Contact information
Practice address
301 MALLORY STATION RD STE 110, FRANKLIN, TN 37067-2825
(615) 988-0451
Mailing address
5908A CARL PL, NASHVILLE, TN 37209-1945
(615) 364-0434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4431
TN
Other
Enumeration date
03/04/2019
Last updated
03/28/2021
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