=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962998229
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMPASSION FOCUS COUNSELING & CONSULTING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2018
-----------------------------------------------------
Last Update Date | 07/22/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 QUANTUM LAKES DR STE 203
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33426-8323
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-512-0201
-----------------------------------------------------
Fax | 888-920-2112
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 919 9TH WAY
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33407-6617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-512-0201
-----------------------------------------------------
Fax | 888-920-2112
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ALISHA W SINGH
-----------------------------------------------------
Credential | LMHC
-----------------------------------------------------
Telephone | 561-512-0201
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | MH15383
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MH15383
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------