MRS. TUANQUILLA MONTESSA THOMPSON


Address: 829 Wisconsin Ave, Racine, WI 53403-1505
Phone: 2626722074

MRS. TUANQUILLA MONTESSA THOMPSON (NPI# 1225434244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225434244
Entity Type Individual
Full Name MRS. TUANQUILLA MONTESSA THOMPSON
Other Name TESSA THOMPSON
Credential SAC-IT
Practice Address 829 Wisconsin Ave
Racine
WI 53403-1505
Mailing Address Po Box 85582
Racine
WI 53408-5582
Practice Telephone 2626722074
Mailing Telephone 2626722074
Enumeration Date 2014-11-18
Last Update Date 2020-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
16904-130 WI Behavioral Health & Social Service Providers
N 104100000X Social Worker 465144 WI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5735 Durand Ave Ste 4, Mount Pleasant, WI 534065011 2625981392 2625981395

Office Location

Street Address 829 WISCONSIN AVE
City RACINE
State WI
Zip Code 53403-1505

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124676259 Quality Care LLC Clinic/Center 2051 Mead St, Racine, WI 53403 2019-09-02
1073999355 Wisconsin Lutheran Child & Family Service, Inc. Social Worker 6150 Taylor Avenue, Racine, WI 53403 2015-08-10
1457780496 Pheynell Branch Counselor 1650 Wasington Ave, Racine, WI 53403 2013-11-08
1811278054 Michelle Gloria Parisot Psychologist 1320 Wisconsin Ave., Racine, WI 53403 2011-09-01
1720372022 Katie Hagen Social Worker 1717 Taylor Avenue, Racine, WI 53403 2011-06-03
1043431570 Rita S Harris Physical Therapy Assistant Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 2007-05-01
1336281336 Linda J Hockensmith Occupational Therapist 4214 Sheridan Road, Racine, WI 53403 2007-02-13
1851447387 Richard John Kemper Dentist 1509 Washington Ave, Racine, WI 53403 2007-01-26
1689760332 Lester Leslie Higgenbottom Counselor 1820 Arlington Ave, Racine, WI 53403 2006-10-04
1114942315 Access Medical Center, LLC Clinic/Center 4216 Old Green Bay Rd, Racine, WI 53403 2006-07-12
Find all providers in zip 53403

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891396255 Cassandra C Coates Counselor 134 Main St Apt 117, Racine, WI 53403-4623 2020-11-03
1871953950 Amybeth Mahoney Counselor 4726 N Green Bay Rd, Racine, WI 53404-1108 2016-03-02
1255798351 Lazria Price Counselor 3801 Monarch Drive 2d, Racine, WI 53406-5500 2016-01-20
1881067197 Jerry Morris Counselor 1303 Chatham St, Racine, WI 53402-4947 2015-11-09
1457780496 Pheynell Branch Counselor 1650 Wasington Ave, Racine, WI 53403 2013-11-08
1578811980 Orlesia Gay Gooseberry Counselor 1501 Albert St, North Unit Upper, Racine, WI 53404-2713 2012-08-16
1720363849 Carla Yvette Ward Counselor 5735 Durand Ave Suite A, Racine, WI 53406 2011-10-20
1871804963 Sharon Johnson-visor Counselor 6939 Mariner Dr Ste C, Racine, WI 53406-4090 2010-06-23
1770753766 Sara L De Grave Counselor 521 Sixth St, Racine, WI 53403-1117 2008-03-05
1083813224 Mwa Counseling Counselor 4425 Taylor Ave, Racine, WI 53405-4642 2007-07-17
Find all providers in RACINE

Competitor

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City RACINE
Zip Code 53403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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