Thompson, Athena R
Thompson, Athena R is an sole proprietor health care provider with primary practice located at 114 E South Hills Dr , Maryville MO 64468-2659. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thompson, Athena R can be contacted via phone (660) 562-4304.Contact Information
Primary practice address
114 E South Hills Dr
Maryville MO 64468-2659
Phone: (660) 562-4304
Fax: (660) 562-4308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2021034282 | Missouri |
Profile Details
| NPI number | 1467120006 |
|---|---|
| LBN Legal business name | Thompson, Athena R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2021 |
| Last updated | Mar 26th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467120006 | NPPES |
| Missouri | Other | 2021034282 | CLINICAL SOCIAL WORK |
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