Provider Demographics
NPI:1457986457
Name:COMPASSIONATE COUNSELING LLC
Entity Type:Organization
Organization Name:COMPASSIONATE COUNSELING LLC
Other - Org Name:COMPASSIONATE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:MEREDITH
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:641-451-0862
Mailing Address - Street 1:402 N B ST STE 104
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52556-2971
Mailing Address - Country:US
Mailing Address - Phone:641-454-5054
Mailing Address - Fax:
Practice Address - Street 1:402 N B ST STE 104
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IA
Practice Address - Zip Code:52556-2971
Practice Address - Country:US
Practice Address - Phone:641-454-5054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty