Provider Demographics
NPI:1730384504
Name:FAMILY COMPASS, PLLC
Entity type:Organization
Organization Name:FAMILY COMPASS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHTUHL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-471-5517
Mailing Address - Street 1:11150 SUNSET HILLS RD STE 150
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5325
Mailing Address - Country:US
Mailing Address - Phone:703-471-5517
Mailing Address - Fax:703-481-8197
Practice Address - Street 1:11150 SUNSET HILLS RD STE 150
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5325
Practice Address - Country:US
Practice Address - Phone:703-471-5517
Practice Address - Fax:703-481-8197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty