Provider Demographics
NPI:1083742456
Name:COMPASS POINTE COUNSELING INC
Entity Type:Organization
Organization Name:COMPASS POINTE COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENDRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-521-3092
Mailing Address - Street 1:PO BOX 2017
Mailing Address - Street 2:
Mailing Address - City:MABELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-1016
Mailing Address - Country:US
Mailing Address - Phone:678-921-3052
Mailing Address - Fax:
Practice Address - Street 1:3188 ATLANTA ROAD SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-8256
Practice Address - Country:US
Practice Address - Phone:678-921-3052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0554225261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health