Provider Demographics
NPI:1396093035
Name:THOMPSON, BILLIE GEAN (MS, LPC-S, RPT-S)
Entity type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:GEAN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS, LPC-S, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 BENT WOOD DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73169-6224
Mailing Address - Country:US
Mailing Address - Phone:405-759-0303
Mailing Address - Fax:
Practice Address - Street 1:6401 BENT WOOD DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73169-6224
Practice Address - Country:US
Practice Address - Phone:405-759-0303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5603101Y00000X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional