# GROWING PAIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Growing Pain LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790387702
- **Authorized official:** MRS. SHAWNERIE LANGFORD (OWNER)
- **Authorized official phone:** (386) 585-2662

## Contact information

- **Practice address:** 1488 LAGONI CIR, DAYTONA BEACH, FL 32117-1890
- **Practice address phone:** (386) 585-2662
- **Practice address fax:** (386) 200-6110
- **Mailing address:** 1488 LAGONI CIR, DAYTONA BEACH, FL 32117-1890
- **Mailing address phone:** (386) 585-2662
- **Mailing address fax:** (386) 200-6110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2020
- **Last updated:** 11/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102122700 | — | FL |