Healthcare Provider Details
I. General information
NPI: 1649738212
Provider Name (Legal Business Name): CENTER FOR COMPASSION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/03/2019
Last Update Date: 12/19/2022
Certification Date: 12/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1331 N ALMA SCHOOL RD STE 100
CHANDLER AZ
85224-5939
US
IV. Provider business mailing address
1331 N ALMA SCHOOL RD STE 100
CHANDLER AZ
85224-5939
US
V. Phone/Fax
- Phone: 480-530-6441
- Fax:
- Phone: 480-530-6441
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TERRI
WAIBEL
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 480-420-7999