Provider Demographics
NPI:1265261077
Name:COMPASSION CONNECTION COUNSELING LLC
Entity type:Organization
Organization Name:COMPASSION CONNECTION COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:331-230-2642
Mailing Address - Street 1:69 E RICKARD DR
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-9567
Mailing Address - Country:US
Mailing Address - Phone:331-230-2642
Mailing Address - Fax:
Practice Address - Street 1:1308 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1173
Practice Address - Country:US
Practice Address - Phone:331-230-2642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical