Individual
SHANTE C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 BARBOURSVILLE LN APT 1A, NORTH CHESTERFIELD, VA 23234-0027
(804) 243-0637
Mailing address
PO BOX 83, CHESTERFIELD, VA 23832-0001
(804) 243-0637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
07/19/2025
Last updated
10/15/2025
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