Provider Demographics
NPI:1699035014
Name:THOMPSON, GIOVANNIA LATANGIA (MA, LPC, LCPC)
Entity type:Individual
Prefix:
First Name:GIOVANNIA
Middle Name:LATANGIA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA, LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13716 W 75TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66216-4225
Mailing Address - Country:US
Mailing Address - Phone:816-382-5301
Mailing Address - Fax:
Practice Address - Street 1:8800 BLUE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64138-4000
Practice Address - Country:US
Practice Address - Phone:816-384-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011003559101YP2500X
KS2784101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional