Provider Demographics
NPI:1952289142
Name:COMPASS & CO WELLNESS LLC
Entity type:Organization
Organization Name:COMPASS & CO WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:COBURN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-591-0884
Mailing Address - Street 1:131 SAMOSET ST # 1040
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4801
Mailing Address - Country:US
Mailing Address - Phone:508-591-0884
Mailing Address - Fax:844-779-0327
Practice Address - Street 1:5 POND EDGE TRL
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-1130
Practice Address - Country:US
Practice Address - Phone:508-591-0884
Practice Address - Fax:844-779-0327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health