Provider Demographics
NPI:1871868141
Name:COMPASS COUNSELING GROUP, PLLC
Entity Type:Organization
Organization Name:COMPASS COUNSELING GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LADC, NCC, CM
Authorized Official - Phone:405-445-8687
Mailing Address - Street 1:501 N MUSTANG RD STE G
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-7044
Mailing Address - Country:US
Mailing Address - Phone:405-376-3600
Mailing Address - Fax:405-376-3606
Practice Address - Street 1:501 N MUSTANG RD STE G
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-7044
Practice Address - Country:US
Practice Address - Phone:405-376-3600
Practice Address - Fax:405-376-3606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health