Provider Demographics
NPI:1326827510
Name:MY COMPASS COUNSELING, LLC
Entity Type:Organization
Organization Name:MY COMPASS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERPIST
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:N
Authorized Official - Last Name:NDEGWA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:508-410-7636
Mailing Address - Street 1:1209 HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-3941
Mailing Address - Country:US
Mailing Address - Phone:508-410-7636
Mailing Address - Fax:
Practice Address - Street 1:1209 HAMPTON DR
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30350-3941
Practice Address - Country:US
Practice Address - Phone:508-410-7636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty