Provider Demographics
NPI:1003606286
Name:COMPASSIONATE COUNSELING LLC
Entity type:Organization
Organization Name:COMPASSIONATE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER - OFFICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-763-3532
Mailing Address - Street 1:529 W GRAND RIVER AVE # 1
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-4203
Mailing Address - Country:US
Mailing Address - Phone:517-490-1455
Mailing Address - Fax:517-962-0035
Practice Address - Street 1:529 W GRAND RIVER AVE # 1
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-4203
Practice Address - Country:US
Practice Address - Phone:517-490-1455
Practice Address - Fax:517-962-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty