Provider Demographics
NPI:1356007538
Name:COMPASS COUNSELING AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:COMPASS COUNSELING AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEPOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-260-3748
Mailing Address - Street 1:709 EMERALD RD
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-8408
Mailing Address - Country:US
Mailing Address - Phone:215-260-3748
Mailing Address - Fax:
Practice Address - Street 1:977 E SCHUYLKILL RD
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-7000
Practice Address - Country:US
Practice Address - Phone:215-260-3748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC008202OtherLPC