Provider Demographics
NPI:1861166753
Name:COMPASSIONS COUNSELING AND CONSULTING LLC
Entity type:Organization
Organization Name:COMPASSIONS COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:RENEE'
Authorized Official - Last Name:GULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S,TA
Authorized Official - Phone:870-345-8206
Mailing Address - Street 1:232 ELDON CV
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364
Mailing Address - Country:US
Mailing Address - Phone:870-345-8206
Mailing Address - Fax:
Practice Address - Street 1:213 ELDON CV
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-2385
Practice Address - Country:US
Practice Address - Phone:870-345-8206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health