| Kali Thompson, Llc | |
|
237 N Prince St Ste 204 Lancaster PA 17603-4062 | |
| (717) 406-3877 | |
| Not Available |
| Full Name | Kali Thompson, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 237 N Prince St Ste 204, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Kali Lenn Thompson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7174063877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kali Thompson, Llc 237 N Prince St Ste 204 Lancaster PA 17603-4062 Ph: (717) 406-3877 | Kali Thompson, Llc 237 N Prince St Ste 204 Lancaster PA 17603-4062 Ph: (717) 406-3877 |
| NPI Number | 1619486594 |
|---|---|
| Provider Enumeration Date | 09/23/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8426312133 |
|---|---|
| Medicare Enrollment ID | O20180504001609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619486594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | CW018375 (Pennsylvania) | Primary |
| Provider Name | Kali L Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255686176 PECOS PAC ID: 5193010080 Enrollment ID: I20160816002583 |
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