Organization
COMPASS ADULT CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB NICOLAI QP (BILLING MANAGER)
(828) 670-7723
Entity
Organization
Contact information
Practice address
1100 RIDGEFIELD BLVD, SUITE 190, ASHEVILLE, NC 28806-6209
(828) 670-7723
Mailing address
PO BOX 19649, CHARLOTTE, NC 28219-9649
(704) 521-4977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
101YP2500X
Professional Counselor
—
NC
103T00000X
Psychologist
—
NC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NC
103TC0700X
Clinical Psychologist
—
NC
103TP0016X
Prescribing (Medical) Psychologist
—
NC
103TR0400X
Rehabilitation Psychologist
—
NC
106H00000X
Marriage & Family Therapist
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300825
—
NC
Enumeration date
08/18/2008
Last updated
08/18/2008
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