Provider Demographics
NPI:1427359827
Name:COMPASION, LLC
Entity Type:Organization
Organization Name:COMPASION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMALITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVACH-WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-581-3896
Mailing Address - Street 1:1600 E LITTLE CREEK RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-4136
Mailing Address - Country:US
Mailing Address - Phone:757-581-3896
Mailing Address - Fax:
Practice Address - Street 1:1600 E LITTLE CREEK RD
Practice Address - Street 2:SUITE 304
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-4136
Practice Address - Country:US
Practice Address - Phone:757-581-3896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1286-02-014251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health