Healthcare Provider Details
I. General information
NPI: 1477471472
Provider Name (Legal Business Name): COMPASSIONATE GROWTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1299 BERKSHIRE LN
NORTH LIBERTY IA
52317-4894
US
IV. Provider business mailing address
1299 BERKSHIRE LN
NORTH LIBERTY IA
52317-4894
US
V. Phone/Fax
- Phone: 319-231-8050
- Fax:
- Phone: 319-231-8050
- 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 | |
VIII. Authorized Official
Name:
CARA
CERULLO
Title or Position: OWNER
Credential: LISW
Phone: 319-231-8050