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General NPI Number Information
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NPI Number | 1578023685
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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 | 03/24/2019
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 501 PINECREST RD
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City | CORINTH
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State | MS
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Zip | 38834-5332
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Country | US
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Telephone | 662-284-6957
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Fax |
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Provider Business Mailing Address
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Address Line | 1904 OAK LN
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City | CORINTH
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State | MS
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Zip | 38834-2760
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Country | US
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Telephone | 662-284-6957
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Fax |
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Authorized Official
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Title or Position | OWNER - LPC
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Name | KASSANDRA DECKER
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Credential | LPC
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Telephone | 662-640-2069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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