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NPI 1619813102

NPI 1619813102 : COMPASS THERAPY SERVICES : ADAMSVILLE, TN

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General NPI Number Information
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    NPI Number           |    1619813102
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPASS THERAPY SERVICES 
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Dates
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    Enumeration Date     |    04/27/2026
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    Last Update Date     |    05/01/2026
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Provider Practice Location Address
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    Address Line         |    120 E MAIN ST 
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    City                 |    ADAMSVILLE
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    State                |    TN
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    Zip                  |    38310-2314
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    Country              |    US
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    Telephone            |    731-614-4614
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    Fax                  |    731-614-4614
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Provider Business Mailing Address
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    Address Line         |    PO BOX 304 
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    City                 |    ADAMSVILLE
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    State                |    TN
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    Zip                  |    38310-0304
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    Country              |    US
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    Telephone            |    731-614-4614
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    Fax                  |    731-614-4614
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Authorized Official
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    Title or Position    |    OWNER/CLINICIAN
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    Name                 |     ROBERTA JOANN COTHAM 
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    Credential           |    DSW,MSW,MHP
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    Telephone            |    731-614-4614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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