Provider Demographics
NPI:1639882905
Name:COMPASS BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:COMPASS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARTI
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:612-946-0205
Mailing Address - Street 1:709 1ST ST. SE
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:MN
Mailing Address - Zip Code:55332
Mailing Address - Country:US
Mailing Address - Phone:612-946-0205
Mailing Address - Fax:
Practice Address - Street 1:709 1ST ST. SE
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:MN
Practice Address - Zip Code:55332
Practice Address - Country:US
Practice Address - Phone:612-946-0205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1841781226OtherNPI I