Provider Demographics
NPI:1649738212
Name:CENTER FOR COMPASSION, PLLC
Entity Type:Organization
Organization Name:CENTER FOR COMPASSION, PLLC
Other - Org Name:TERRI WAIBEL
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:WAIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:480-420-7999
Mailing Address - Street 1:1331 N ALMA SCHOOL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5939
Mailing Address - Country:US
Mailing Address - Phone:480-530-6441
Mailing Address - Fax:
Practice Address - Street 1:1331 N ALMA SCHOOL RD STE 100
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5939
Practice Address - Country:US
Practice Address - Phone:480-530-6441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-03
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1932718319Medicaid
AZ1619475902Medicaid