Organization
COMPASS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LOPEZ (PRESIDENT)
(407) 285-6691
Entity
Organization
Contact information
Practice address
1400 N SEMORAN BLVD STE E, ORLANDO, FL 32807-3562
(407) 823-8421
Mailing address
1400 N SEMORAN BLVD, ORLANDO, FL 32807-3536
(407) 823-8421
(407) 823-8195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011938000
—
FL
01
—
FS972A
MEDICARE PTAN
FL
Enumeration date
05/31/2011
Last updated
04/11/2024
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