Healthcare Provider Details

I. General information

NPI: 1326521840
Provider Name (Legal Business Name): COMPASS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 WHITESTICK ST
MABSCOTT WV
25871-0046
US

IV. Provider business mailing address

PO BOX 46 235 WHITESTICK ST
MABSCOTT WV
25871-0046
US

V. Phone/Fax

Practice location:
  • Phone: 304-254-8709
  • Fax: 304-254-8719
Mailing address:
  • Phone: 304-254-8709
  • Fax: 304-254-8719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANGELA MARTIN
Title or Position: CEO
Credential: MSW, LCSW
Phone: 304-254-8709