| Compass Integrative Counseling Llc | |
|
5507 Ranch Dr Ste 202 Little Rock AR 72223-0043 | |
| (501) 291-3732 | |
| (501) 251-1091 |
| Full Name | Compass Integrative Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5507 Ranch Dr Ste 202, Little Rock, Arkansas |
| Authorized Official Name and Position | Martin C Skrivanos (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5012913732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Integrative Counseling Llc 5507 Ranch Dr Ste 202 Little Rock AR 72223-0043 Ph: (501) 291-3732 | Compass Integrative Counseling Llc 5507 Ranch Dr Ste 202 Little Rock AR 72223-0043 Ph: (501) 291-3732 |
| NPI Number | 1679216972 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 01/05/2022 |
| Medicare PECOS PAC ID | 2163867789 |
|---|---|
| Medicare Enrollment ID | O20240305001296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679216972 | NPI | - | NPPES |
| 1386193209 | Other | AR | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Martin Skrivanos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386193209 PECOS PAC ID: 3072958693 Enrollment ID: I20240305001431 |
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