Provider Demographics
NPI:1740932706
Name:COMPREHEN-SELF, PLLC
Entity type:Organization
Organization Name:COMPREHEN-SELF, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCMHC, NCC
Authorized Official - Phone:704-999-9495
Mailing Address - Street 1:3296 BRICKWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28107-7824
Mailing Address - Country:US
Mailing Address - Phone:704-999-9495
Mailing Address - Fax:
Practice Address - Street 1:4614 WILGROVE MINT HILL RD
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-3500
Practice Address - Country:US
Practice Address - Phone:704-999-9495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health