Provider Demographics
NPI:1285290403
Name:COMPASS LIFE SKILLS AND COUNSELING, PLLC
Entity type:Organization
Organization Name:COMPASS LIFE SKILLS AND COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRIE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA, NCC, BC-TMH
Authorized Official - Phone:704-336-0366
Mailing Address - Street 1:3515 DAVID COX RD UNIT 481321
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-2537
Mailing Address - Country:US
Mailing Address - Phone:704-336-0366
Mailing Address - Fax:
Practice Address - Street 1:8824 CLIFF CAMERON DR APT 107
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-0839
Practice Address - Country:US
Practice Address - Phone:704-336-0366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health