Provider Demographics
NPI:1013581164
Name:COMPASS ROSE PSYCHOTHERAPY
Entity Type:Organization
Organization Name:COMPASS ROSE PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:KATE
Authorized Official - Last Name:GOMES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCHMCS, LCAS
Authorized Official - Phone:910-233-1878
Mailing Address - Street 1:70 WOODFIN PLACE, SUITE 102
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4063
Mailing Address - Country:US
Mailing Address - Phone:910-216-0194
Mailing Address - Fax:833-494-4996
Practice Address - Street 1:313 WALNUT ST STE 108
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-4063
Practice Address - Country:US
Practice Address - Phone:910-233-1878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2023-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty