Provider Demographics
NPI:1659945145
Name:COMPASS MENTAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:COMPASS MENTAL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HANY
Authorized Official - Middle Name:DELACARIDAD
Authorized Official - Last Name:URDANETA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-799-0960
Mailing Address - Street 1:8858B SW 129TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-5931
Mailing Address - Country:US
Mailing Address - Phone:786-799-0960
Mailing Address - Fax:
Practice Address - Street 1:8858B SW 129TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-5931
Practice Address - Country:US
Practice Address - Phone:786-799-0960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105099000Medicaid