MEDICARE: COMPASSION COUNSELING AND BEHAVIORAL HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1508725458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSION COUNSELING AND BEHAVIORAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	1440 MOUNT ZION RD # 1178
Second Line	:
City	:	MORROW
State	:	GA
Zip	:	30260-2318
Country	:	US
Telephone Number	:	678-851-8599
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 LENNOX ST
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-4159
Country	:	US
Telephone Number	:	678-851-8599
Fax Number	:

Authorized Official
Title or Position	:	CLINICIAN/FOUNDER
Name	:	FELICIA REYNOLDS
Credential	:	LCSW
Telephone Number	:	678-851-8599

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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