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General NPI Number Information
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NPI Number | 1386458198
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Entity Type | Organization
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Legal Business Name | COMPASSION ELEVATED THERAPY SERVICES LICENSED CLINICAL SOCIAL WORKER CORP.
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 6080 CENTER DR STE 600
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City | LOS ANGELES
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State | CA
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Zip | 90045-1540
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Country | US
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Telephone | 424-209-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 6080 CENTER DR STE 600
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City | LOS ANGELES
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State | CA
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Zip | 90045-1540
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Country | US
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Telephone | 424-209-8333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JETENA MCGHEE
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Credential |
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Telephone | 424-351-5990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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