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General NPI Number Information
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NPI Number | 1629478250
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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 | 09/02/2014
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 2204 KENTUCKY AVE
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City | PADUCAH
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State | KY
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Zip | 42003-3242
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Country | US
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Telephone | 270-777-4490
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Fax | 866-441-1083
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Provider Business Mailing Address
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Address Line | 2204 KENTUCKY AVE
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City | PADUCAH
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State | KY
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Zip | 42003-3242
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Country | US
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Telephone | 270-777-4490
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Fax | 866-824-4022
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Authorized Official
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Title or Position | OWNER
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Name | KATHRYN ENGLERT
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Credential | LPCC-S, BC-TMH
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Telephone | 270-777-4490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1395
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License Number State | KY
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