Healthcare Provider Details

I. General information

NPI: 1831873405
Provider Name (Legal Business Name): COMPASSIONATE COUNSELING FOR SENIORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 07/27/2023
Certification Date: 07/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8031 SAYBROOK DR
WESTERVILLE OH
43082-8090
US

IV. Provider business mailing address

8031 SAYBROOK DR
WESTERVILLE OH
43082-8090
US

V. Phone/Fax

Practice location:
  • Phone: 614-203-6316
  • Fax:
Mailing address:
  • Phone: 614-203-6316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMY S LUBA
Title or Position: LICENSED INDEPENDENT SOCIAL WORKER
Credential: LISW
Phone: 614-203-6316