Healthcare Provider Details

I. General information

NPI: 1083535066
Provider Name (Legal Business Name): COMPASS RECOVERY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 MASS AVE
ARLINGTON MA
02476-5002
US

IV. Provider business mailing address

70 SAINT JOSEPH AVE
FITCHBURG MA
01420-4023
US

V. Phone/Fax

Practice location:
  • Phone: 617-444-9487
  • Fax:
Mailing address:
  • Phone: 978-400-8150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DARA WILSON
Title or Position: OWNER
Credential: LADC I
Phone: 617-444-9487