Compass Counseling Llc | |
501 Pinecrest Rd Corinth MS 38834-5332 | |
(662) 284-6957 | |
Not Available |
Full Name | Compass Counseling Llc |
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Speciality | Clinic/Center |
Location | 501 Pinecrest Rd, Corinth, Mississippi |
Authorized Official Name and Position | Kassandra Decker (OWNER - LPC) |
Authorized Official Contact | 6626402069 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compass Counseling Llc 1904 Oak Ln Corinth MS 38834-2760 Ph: (662) 284-6957 | Compass Counseling Llc 501 Pinecrest Rd Corinth MS 38834-5332 Ph: (662) 284-6957 |
NPI Number | 1578023685 |
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Provider Enumeration Date | 03/24/2019 |
Last Update Date | 02/09/2022 |
Certification Date | 02/09/2022 |
Medicare PECOS PAC ID | 5799170098 |
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Medicare Enrollment ID | O20220324000044 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578023685 | NPI | - | NPPES |
09336064 | Medicaid | MS | |
00634231 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Deborah Dobbins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982246617 PECOS PAC ID: 1355759523 Enrollment ID: I20210428001520 |
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Mid-town Medical Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 815 Childs Street, Corinth, MS 38834 Phone: 662-665-0006 Fax: 662-665-9151 | |
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