Provider Demographics
NPI:1528362779
Name:COMPASS POINT LLC
Entity Type:Organization
Organization Name:COMPASS POINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOLSOPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-486-2333
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IN
Mailing Address - Zip Code:47558-0035
Mailing Address - Country:US
Mailing Address - Phone:812-486-2333
Mailing Address - Fax:
Practice Address - Street 1:542 N 3RD ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:IN
Practice Address - Zip Code:47558-5745
Practice Address - Country:US
Practice Address - Phone:812-486-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty