Provider Demographics
NPI:1699826537
Name:COMPASS FAMILY RESOURCE AND COUNSELING CENTER
Entity Type:Organization
Organization Name:COMPASS FAMILY RESOURCE AND COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECTUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOVENER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:318-343-3316
Mailing Address - Street 1:108 FILHIOL AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-3828
Mailing Address - Country:US
Mailing Address - Phone:318-343-3316
Mailing Address - Fax:318-345-0424
Practice Address - Street 1:108 FILHIOL AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-3828
Practice Address - Country:US
Practice Address - Phone:318-343-3316
Practice Address - Fax:318-345-0424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2775101YP2500X
LA492106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty