# COMPASS MENTAL HEALTH & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184567646
- **Authorized official:** MR. NICOLAE CODRUT MARIN LAC (OWNER, CEO)
- **Authorized official phone:** (520) 481-7461

## Contact information

- **Practice address:** 4672 MAVERICK LN STE 1A, LAKESIDE, AZ 85929-5434
- **Practice address phone:** (520) 481-7461
- **Mailing address:** 650 N PENROD RD STE A, SHOW LOW, AZ 85901-5284
- **Mailing address phone:** (520) 481-7461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 04/10/2026
- **Last updated:** 04/10/2026