Organization
COMPASSIONATE HEALTH AND MANAGED PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TISH J BROWN (PRACTICE ADMINISTRATOR)
(386) 944-9813
Entity
Organization
Contact information
Practice address
1414 W GRANADA BLVD STE 2, ORMOND BEACH, FL 32174-8104
(386) 451-2346
Mailing address
1414 W GRANADA BLVD STE 2, ORMOND BEACH, FL 32174-8104
(386) 451-2346
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME101968
—
2084N0400X
Neurology Physician
Primary
ME101968
FL
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
04/13/2026
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