Healthcare Provider Details

I. General information

NPI: 1013525948
Provider Name (Legal Business Name): COMP SERV HEALTH RESOURCES INTERNATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 09/27/2021
Certification Date: 09/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 VINE ST
CINCINNATI OH
45202-7018
US

IV. Provider business mailing address

101 N 7TH ST
LOUISVILLE KY
40202-2924
US

V. Phone/Fax

Practice location:
  • Phone: 888-751-3730
  • Fax: 502-792-9184
Mailing address:
  • Phone: 888-751-3730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LATONYA NIANG
Title or Position: CEO
Credential: EDD
Phone: 910-352-0733