Provider Demographics
NPI:1457060741
Name:COMPASSIONATE CORNER, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CORNER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:YONO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CCM
Authorized Official - Phone:248-291-7741
Mailing Address - Street 1:4470 CHERRY HILL DR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48323-1613
Mailing Address - Country:US
Mailing Address - Phone:248-722-0606
Mailing Address - Fax:
Practice Address - Street 1:7125 ORCHARD LAKE RD STE 301
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-5307
Practice Address - Country:US
Practice Address - Phone:248-291-7741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health