Provider Demographics
NPI:1770819062
Name:COMPASS POINT, LLC
Entity Type:Organization
Organization Name:COMPASS POINT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WIZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:910-791-6015
Mailing Address - Street 1:2539 CASTLE HAYNE RD
Mailing Address - Street 2:SUITE F1
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-2698
Mailing Address - Country:US
Mailing Address - Phone:910-790-6015
Mailing Address - Fax:910-791-6872
Practice Address - Street 1:2539 CASTLE HAYNE RD
Practice Address - Street 2:SUITE F1
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-2698
Practice Address - Country:US
Practice Address - Phone:910-790-6015
Practice Address - Fax:910-791-6872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health