Healthcare Provider Details

I. General information

NPI: 1609701044
Provider Name (Legal Business Name): COMPASSIONATE CARE COUNSELLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 WATERTRUMPET CT
WALDORF MD
20603-4947
US

IV. Provider business mailing address

2305 WATERTRUMPET CT
WALDORF MD
20603-4947
US

V. Phone/Fax

Practice location:
  • Phone: 240-232-9950
  • Fax:
Mailing address:
  • Phone: 240-232-9950
  • 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: MAHAWA MUSA
Title or Position: OWNER
Credential:
Phone: 240-232-9950