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Organization

COMPASSIONATE HEALTH AND MANAGED PAIN LLC

Active
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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

Other

Enumeration date
03/15/2017
Last updated
04/13/2026
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