| Compass Counseling And Consulting Services, Llc. | |
|
14074 Trade Center Dr Ste 247 Fishers IN 46038-4579 | |
| (317) 459-0676 | |
| Not Available |
| Full Name | Compass Counseling And Consulting Services, Llc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14074 Trade Center Dr Ste 247, Fishers, Indiana |
| Authorized Official Name and Position | Brishen Marie Lewis-weir (BEHAVIORAL HEALTH THERAPIST) |
| Authorized Official Contact | 3174590676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Counseling And Consulting Services, Llc. 14074 Trade Center Dr Ste 247 Fishers IN 46038-4579 Ph: (317) 459-0676 | Compass Counseling And Consulting Services, Llc. 14074 Trade Center Dr Ste 247 Fishers IN 46038-4579 Ph: (317) 459-0676 |
| NPI Number | 1598263469 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 01/25/2018 |
| Medicare PECOS PAC ID | 9931462991 |
|---|---|
| Medicare Enrollment ID | O20180404002857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598263469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34006593A (Indiana) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 34006593A (Indiana) | Secondary |
| Provider Name | Brishen M Lewisweir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548540040 PECOS PAC ID: 4486881919 Enrollment ID: I20131209000421 |
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