Provider Demographics
NPI:1952292773
Name:COMPASSIONATE INSIGHTS COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:COMPASSIONATE INSIGHTS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAYLA
Authorized Official - Middle Name:LATEEFAH
Authorized Official - Last Name:BULLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-256-8548
Mailing Address - Street 1:14114 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5851
Mailing Address - Country:US
Mailing Address - Phone:301-821-6000
Mailing Address - Fax:
Practice Address - Street 1:14114 OXFORD DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5851
Practice Address - Country:US
Practice Address - Phone:301-821-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD649014000Medicaid