Organization
COMPASS MENTAL HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLAE CODRUT MARIN LAC (OWNER, CEO)
(520) 481-7461
Entity
Organization
Contact information
Practice address
4672 MAVERICK LN STE 1A, LAKESIDE, AZ 85929-5434
(520) 481-7461
Mailing address
650 N PENROD RD STE A, SHOW LOW, AZ 85901-5284
(520) 481-7461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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