Healthcare Provider Details

I. General information

NPI: 1235070046
Provider Name (Legal Business Name): LIFE COMPASS CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 BRANDYWINE CT
BRICK NJ
08724-2068
US

IV. Provider business mailing address

45 BRANDYWINE CT
BRICK NJ
08724-2068
US

V. Phone/Fax

Practice location:
  • Phone: 848-272-0144
  • Fax: 848-322-2186
Mailing address:
  • Phone: 848-272-0144
  • Fax: 848-322-2186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ALLEN M GABRIEL
Title or Position: MANAGING MEMBER
Credential: MS, LCADC, ICGC
Phone: 848-282-1996