Provider Demographics
NPI:1063724953
Name:COMPASSIONATE COUNSELING
Entity type:Organization
Organization Name:COMPASSIONATE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:OAKS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:509-493-1143
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:UNDERWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98651-0093
Mailing Address - Country:US
Mailing Address - Phone:541-980-1919
Mailing Address - Fax:
Practice Address - Street 1:1000 W STEUBEN
Practice Address - Street 2:
Practice Address - City:BINGEN
Practice Address - State:WA
Practice Address - Zip Code:98605
Practice Address - Country:US
Practice Address - Phone:509-493-1143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60118130101YM0800X
WALH60051192101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty