Provider Demographics
NPI:1962794156
Name:COMPASS BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:COMPASS BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HUFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC, NCC
Authorized Official - Phone:407-830-7903
Mailing Address - Street 1:1912 BOOTHE CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-6709
Mailing Address - Country:US
Mailing Address - Phone:407-830-7903
Mailing Address - Fax:407-767-0812
Practice Address - Street 1:1912 BOOTHE CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-6709
Practice Address - Country:US
Practice Address - Phone:407-830-7903
Practice Address - Fax:407-767-0812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty