Provider Demographics
NPI:1831873405
Name:COMPASSIONATE COUNSELING FOR SENIORS
Entity type:Organization
Organization Name:COMPASSIONATE COUNSELING FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED INDEPENDENT SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:LUBA
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-203-6316
Mailing Address - Street 1:8031 SAYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8090
Mailing Address - Country:US
Mailing Address - Phone:614-203-6316
Mailing Address - Fax:
Practice Address - Street 1:8031 SAYBROOK DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8090
Practice Address - Country:US
Practice Address - Phone:614-203-6316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health