Provider Demographics
NPI:1093186363
Name:COMPASS COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:COMPASS COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:CRISP
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LCASA
Authorized Official - Phone:919-807-1453
Mailing Address - Street 1:85 RIVERCREST DR
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-8774
Mailing Address - Country:US
Mailing Address - Phone:919-807-1453
Mailing Address - Fax:
Practice Address - Street 1:85 RIVERCREST DR
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-8774
Practice Address - Country:US
Practice Address - Phone:919-807-1453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0093021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty