Provider Demographics
NPI:1598263469
Name:COMPASS COUNSELING AND CONSULTING SERVICES, LLC.
Entity Type:Organization
Organization Name:COMPASS COUNSELING AND CONSULTING SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BRISHEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LEWIS-WEIR
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:317-459-0676
Mailing Address - Street 1:14074 TRADE CENTER DR STE 247
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-4579
Mailing Address - Country:US
Mailing Address - Phone:317-459-0676
Mailing Address - Fax:
Practice Address - Street 1:14074 TRADE CENTER DR STE 247
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-4579
Practice Address - Country:US
Practice Address - Phone:317-459-0676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006593A251S00000X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health