Provider Demographics
NPI:1376054635
Name:COMPASSIONATE COUNSELING SERVICES
Entity Type:Organization
Organization Name:COMPASSIONATE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MUFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:507-310-1321
Mailing Address - Street 1:505 STATE ST S STE 6
Mailing Address - Street 2:
Mailing Address - City:WASECA
Mailing Address - State:MN
Mailing Address - Zip Code:56093-3032
Mailing Address - Country:US
Mailing Address - Phone:507-310-1321
Mailing Address - Fax:507-310-1322
Practice Address - Street 1:505 STATE ST S STE 6
Practice Address - Street 2:
Practice Address - City:WASECA
Practice Address - State:MN
Practice Address - Zip Code:56093-3032
Practice Address - Country:US
Practice Address - Phone:507-310-1321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1801229190OtherLMFT
MN1952686412OtherLPCC