Provider Demographics
NPI:1023823317
Name:COMPASSION PSYCHOTHERAPY CENTER LLC
Entity type:Organization
Organization Name:COMPASSION PSYCHOTHERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:TROUT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:414-807-0374
Mailing Address - Street 1:6046 N IRONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4423
Mailing Address - Country:US
Mailing Address - Phone:414-807-0374
Mailing Address - Fax:
Practice Address - Street 1:6046 N IRONWOOD LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-4423
Practice Address - Country:US
Practice Address - Phone:414-807-0374
Practice Address - Fax:414-963-6866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty