Organization Active NPI

Compassionate Space

  • Adult Mental Health Clinic/Center
  • Murrells Inlet, SC
National Provider Identifier
1922706654
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COMPASSIONATE SPACE
Practice address
4506 Highway 17 Business Unit B
Murrells Inlet, SC 29576-5635
Phone
(843) 212-6862
NPI assigned
Feb 22, 2023
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Camilla Lynn Robarts, MA,LPCNPI 1073211819
Title
Counselor
Phone
(843) 212-6862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4506 Highway 17 Business Unit B
Murrells Inlet, SC 29576-5635

Mailing address

4506 Highway 17 Business Unit B
Murrells Inlet, SC 29576-5635
Phone (843) 212-6862

National Provider Directory

National Provider Directory

Locations

4506 Highway 17 Business
Unit B
Murrells Inlet, SC 29576
Phone (843) 212-6862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1922706654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 HIGHWAY 17 BUSINESS UNIT B",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765635",
            "telephone_number": "843-212-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 HIGHWAY 17 BUSINESS UNIT B",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765635",
            "telephone_number": "843-212-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "ROBARTS",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "843-212-6862",
        "authorized_official_credential": "MA,LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.