Provider Demographics
NPI:1720813173
Name:COMPASSION COUNSELING ASSOCIATES PLLC
Entity type:Organization
Organization Name:COMPASSION COUNSELING ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SADE
Authorized Official - Middle Name:NATASHA
Authorized Official - Last Name:MASSIAH
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:704-312-2669
Mailing Address - Street 1:27 DOWNER AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02125-2042
Mailing Address - Country:US
Mailing Address - Phone:704-312-2669
Mailing Address - Fax:
Practice Address - Street 1:27 DOWNER AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02125-2042
Practice Address - Country:US
Practice Address - Phone:704-312-2669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)