Individual
MRS. CHANTIA L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
11856 LORENZ WAY, PLYMOUTH, MI 48170-3506
(313) 982-2465
Mailing address
18701 GRAND RIVER AVE # M139, DETROIT, MI 48223-2214
(313) 982-2465
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
251V00000X
Voluntary or Charitable Agency
—
—
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
03/01/2022
Last updated
10/22/2023
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