Provider Demographics
NPI:1437683802
Name:COMPASSION COUNSELING CENTER ENC PC
Entity Type:Organization
Organization Name:COMPASSION COUNSELING CENTER ENC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PUZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, LPCS
Authorized Official - Phone:252-670-5637
Mailing Address - Street 1:3503 DENIM CT
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-9217
Mailing Address - Country:US
Mailing Address - Phone:252-670-5637
Mailing Address - Fax:252-638-8248
Practice Address - Street 1:1916 S GLENBURNIE RD STE 5
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5226
Practice Address - Country:US
Practice Address - Phone:252-670-5637
Practice Address - Fax:252-638-8248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS5227101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty