Provider Demographics
NPI:1104418797
Name:COMPASSION ACUPUNCTURE & HOLISTIC HEALING, LLC
Entity type:Organization
Organization Name:COMPASSION ACUPUNCTURE & HOLISTIC HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOUS
Authorized Official - Suffix:
Authorized Official - Credentials:AP, ADS
Authorized Official - Phone:954-594-0843
Mailing Address - Street 1:2625 SE 7TH ST
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-6121
Mailing Address - Country:US
Mailing Address - Phone:954-594-0843
Mailing Address - Fax:
Practice Address - Street 1:2818 E OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1814
Practice Address - Country:US
Practice Address - Phone:954-594-0843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty