Provider Demographics
NPI:1306448279
Name:COMPASSIONATE CARE LSC, INCORPORATION
Entity type:Organization
Organization Name:COMPASSIONATE CARE LSC, INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCOTT CRUSING
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC, CADC, MISA
Authorized Official - Phone:815-464-8210
Mailing Address - Street 1:20646 ABBEY WOODS CT N STE 205
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-3177
Mailing Address - Country:US
Mailing Address - Phone:815-464-8210
Mailing Address - Fax:
Practice Address - Street 1:20646 ABBEY WOODS CT N STE 205
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-3177
Practice Address - Country:US
Practice Address - Phone:815-464-8210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-14
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty