Healthcare Provider Details

I. General information

NPI: 1730815929
Provider Name (Legal Business Name): COMPASS TO THE CREST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7776 S POINTE PKWY W STE 138
PHOENIX AZ
85044-5402
US

IV. Provider business mailing address

529 TANNINGER DR
INDIANAPOLIS IN
46239-9457
US

V. Phone/Fax

Practice location:
  • Phone: 317-210-4279
  • Fax:
Mailing address:
  • Phone: 317-869-5008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER MERIEL MCCHRISTIAN
Title or Position: OWNER
Credential: LCSW
Phone: 317-869-5008