Provider Demographics
NPI:1942072665
Name:COMPASSIONATE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:FAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:908-309-2737
Mailing Address - Street 1:300 EMORY ST UNIT 209
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-7131
Mailing Address - Country:US
Mailing Address - Phone:908-309-2737
Mailing Address - Fax:
Practice Address - Street 1:300 EMORY ST UNIT 209
Practice Address - Street 2:
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-7131
Practice Address - Country:US
Practice Address - Phone:908-309-2737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty