Provider Demographics
NPI:1013388065
Name:COMPASS COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:COMPASS COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JADA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HOFLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MS-LPCC
Authorized Official - Phone:701-853-2795
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:REEDER
Mailing Address - State:ND
Mailing Address - Zip Code:58649-0247
Mailing Address - Country:US
Mailing Address - Phone:701-853-2795
Mailing Address - Fax:701-853-2796
Practice Address - Street 1:503 2ND AVE E
Practice Address - Street 2:
Practice Address - City:REEDER
Practice Address - State:ND
Practice Address - Zip Code:58649-4913
Practice Address - Country:US
Practice Address - Phone:701-853-2795
Practice Address - Fax:701-853-2796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND732-9-15-12101YP2500X
SDLPC1174101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty