Organization
COMPASSIONATE COUNSELING & SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABRIA CORPREW LPC (CLINICAL DIRECTOR)
(912) 682-1383
Entity
Organization
Contact information
Practice address
240 CREEKSIDE CIR, ELLABELL, GA 31308-7231
(912) 682-1383
(912) 219-2285
Mailing address
101 BLUE MOON XING, SUITE 3, UNIT 114, POOLER, GA 31322-9798
(912) 682-1383
(912) 219-2285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC0113110
LICENSED PROFESSIONAL COUNSELOR
GA
Enumeration date
02/07/2023
Last updated
02/07/2023
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