Provider Demographics
NPI:1790545960
Name:COMPASS COUNSELING AND CONSULTING SERVICES PLLC
Entity Type:Organization
Organization Name:COMPASS COUNSELING AND CONSULTING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANOOGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:734-891-1180
Mailing Address - Street 1:7087 CEDARBANK DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-2402
Mailing Address - Country:US
Mailing Address - Phone:734-891-1180
Mailing Address - Fax:
Practice Address - Street 1:7087 CEDARBANK DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48324-2402
Practice Address - Country:US
Practice Address - Phone:734-891-1180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty