Provider Demographics
NPI:1427778422
Name:COMPASS COUNSELING LLC
Entity type:Organization
Organization Name:COMPASS COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-822-2407
Mailing Address - Street 1:750 RIDGEVIEW DR STE 104
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-2696
Mailing Address - Country:US
Mailing Address - Phone:801-822-2407
Mailing Address - Fax:
Practice Address - Street 1:750 RIDGEVIEW DR STE 104
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-2696
Practice Address - Country:US
Practice Address - Phone:801-822-2407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TYLER GORDON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-30
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty