Healthcare Provider Details
I. General information
NPI: 1245749456
Provider Name (Legal Business Name): COMPASS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2017
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 N DIXIE HWY
LAKE WORTH FL
33460-3079
US
IV. Provider business mailing address
201 N DIXIE HWY
LAKE WORTH FL
33460-3079
US
V. Phone/Fax
- Phone: 561-533-9699
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIE
SEAVER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 561-533-9699