Provider Demographics
NPI:1689159873
Name:COMPASSIONATE COUNSELORS INCORPORATED
Entity Type:Organization
Organization Name:COMPASSIONATE COUNSELORS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULEE
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-260-4080
Mailing Address - Street 1:PO BOX 7477
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33482-7477
Mailing Address - Country:US
Mailing Address - Phone:954-260-4080
Mailing Address - Fax:561-265-5811
Practice Address - Street 1:399 NW 2ND AVE STE 202
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3848
Practice Address - Country:US
Practice Address - Phone:954-260-4080
Practice Address - Fax:561-265-5811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1871661173OtherINDIVIDUAL NPI NUMBER