Thompson, Mary Coppedge

Thompson, Mary Coppedge is an individual health care provider with primary practice located at 601 Lauchwood Dr Ste B , Laurinburg NC 28352-5510. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Thompson, Mary Coppedge can be contacted via phone (910) 276-7011.

Contact Information

Primary practice address
601 Lauchwood Dr Ste B Laurinburg NC 28352-5510
Phone: (910) 276-7011
Fax: (910) 276-7060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4273 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 4273 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4273 North Carolina

Profile Details

NPI number 1255421772
LBN Legal business name Thompson, Mary Coppedge
Credentials LCMHCS, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Apr 2nd, 2024 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255421772 NPPES
North Carolina MEDICAID 6102676

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