Provider Demographics
NPI:1194042002
Name:COMPASS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:COMPASS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HARSHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:417-597-4572
Mailing Address - Street 1:777 E BATTLEFIELD ST
Mailing Address - Street 2:SUITE 102B
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-4807
Mailing Address - Country:US
Mailing Address - Phone:417-597-4572
Mailing Address - Fax:
Practice Address - Street 1:777 E BATTLEFIELD ST
Practice Address - Street 2:SUITE 102B
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-4807
Practice Address - Country:US
Practice Address - Phone:417-597-4572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-02
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005009298101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty