Provider Demographics
NPI:1033398094
Name:COMPASS CONSULTANTS LLC
Entity Type:Organization
Organization Name:COMPASS CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAXSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-993-2959
Mailing Address - Street 1:PO BOX 43172
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85080-3172
Mailing Address - Country:US
Mailing Address - Phone:602-993-2959
Mailing Address - Fax:602-548-4881
Practice Address - Street 1:14001 N 7TH ST
Practice Address - Street 2:SUITE B-104
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4382
Practice Address - Country:US
Practice Address - Phone:602-993-2959
Practice Address - Fax:602-548-5881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW0567101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty