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General NPI Number Information
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NPI Number | 1518658319
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Entity Type | Organization
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Legal Business Name | COMPASS THERAPY CENTER, LLC
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 232 CHURCH ST APT 3
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3442
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Country | US
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Telephone | 610-585-6522
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Fax |
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Provider Business Mailing Address
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Address Line | 18 CAMPUS BLVD STE 100
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-3240
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | KELLY N KOWALCHUK
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Credential | LCSW
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Telephone | 610-585-6522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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