Provider Demographics
NPI:1255029856
Name:COMPASS BEHAVIORAL HEALTH PLLC
Entity type:Organization
Organization Name:COMPASS BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:P
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MLADC, MBA
Authorized Official - Phone:603-762-7646
Mailing Address - Street 1:74 PELL DR
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03455-2303
Mailing Address - Country:US
Mailing Address - Phone:603-762-7646
Mailing Address - Fax:
Practice Address - Street 1:20 MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3784
Practice Address - Country:US
Practice Address - Phone:603-762-7646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty