Healthcare Provider Details

I. General information

NPI: 1558283267
Provider Name (Legal Business Name): COMPASS COMMUNICATION THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9075 HWY 32
SAINTE GENEVIEVE MO
63670-8368
US

IV. Provider business mailing address

9075 HWY 32
SAINTE GENEVIEVE MO
63670-8368
US

V. Phone/Fax

Practice location:
  • Phone: 573-414-1664
  • Fax:
Mailing address:
  • Phone: 573-414-1664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CALLISTA MILLER
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential:
Phone: 573-414-1664