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General NPI Number Information
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NPI Number | 1326521840
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Entity Type | Organization
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Legal Business Name | COMPASS COUNSELING, LLC
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 05/03/2019
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Provider Practice Location Address
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Address Line | 345 PRINCE ST STE 1
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City | BECKLEY
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State | WV
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Zip | 25801-4515
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Country | US
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Telephone | 304-254-8709
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Fax | 304-254-8719
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Provider Business Mailing Address
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Address Line | PO BOX 46
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City | MABSCOTT
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State | WV
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Zip | 25871-0046
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Country | US
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Telephone | 304-731-0925
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ANGELA MARTIN
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Credential | MSW, LCSW
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Telephone | 304-254-8709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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