Provider Demographics
NPI:1912597485
Name:COMPASS HEALING PROJECT CO.
Entity Type:Organization
Organization Name:COMPASS HEALING PROJECT CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:RAE RUSH
Authorized Official - Last Name:COONEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:209-679-6219
Mailing Address - Street 1:764 COPPERDALE LN
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-9779
Mailing Address - Country:US
Mailing Address - Phone:209-679-6219
Mailing Address - Fax:
Practice Address - Street 1:1200 ARAPAHOE ST
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1124
Practice Address - Country:US
Practice Address - Phone:760-456-7713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty