Provider Demographics
NPI:1922861293
Name:COMPASSION THERAPEUTIC COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:COMPASSION THERAPEUTIC COUNSELING SERVICES, LLC
Other - Org Name:COMPASSION THERAPEUTIC COUNSELING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CARNEL
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:229-254-3627
Mailing Address - Street 1:102 HUBERT DOLLAR DR
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:39819-3304
Mailing Address - Country:US
Mailing Address - Phone:229-254-3627
Mailing Address - Fax:229-389-2877
Practice Address - Street 1:102 HUBERT DOLLAR DR
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:39819-3304
Practice Address - Country:US
Practice Address - Phone:229-254-3627
Practice Address - Fax:229-389-2877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)