Provider Demographics
NPI:1619658119
Name:COMPASSIONATE ACTION COUNSELING, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE ACTION COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFANICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:269-757-2695
Mailing Address - Street 1:717 SAINT JOSEPH DR STE 170
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-2428
Mailing Address - Country:US
Mailing Address - Phone:269-757-2695
Mailing Address - Fax:
Practice Address - Street 1:711 STATE ST APT 4
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-1478
Practice Address - Country:US
Practice Address - Phone:269-757-2695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty