Healthcare Provider Details

I. General information

NPI: 1376351882
Provider Name (Legal Business Name): COMPASSION COMPASS THERAPY LICENSED CLINICAL SOCIAL WORKER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3590 CENTRAL AVE STE 201
RIVERSIDE CA
92506-2708
US

IV. Provider business mailing address

3590 CENTRAL AVE STE 201
RIVERSIDE CA
92506-2708
US

V. Phone/Fax

Practice location:
  • Phone: 951-363-3787
  • Fax:
Mailing address:
  • Phone: 951-363-3787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LEAHMONTAINE S BARROW
Title or Position: CEO/ PRESIDENT
Credential: LCSW
Phone: 951-363-3787