Provider Demographics
NPI:1407527062
Name:EDEN'S COMPASS, LLC
Entity Type:Organization
Organization Name:EDEN'S COMPASS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MORGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:903-293-5484
Mailing Address - Street 1:2909 BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-3228
Mailing Address - Country:US
Mailing Address - Phone:903-293-5484
Mailing Address - Fax:
Practice Address - Street 1:2909 BRISTOL ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3228
Practice Address - Country:US
Practice Address - Phone:903-293-5484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2024-04-03
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
NEP-1856OtherDHHS
NE1551OtherDHHS