Provider Demographics
NPI:1992343172
Name:THE CENTER FOR COMPASSIONATE CARE, LLC
Entity type:Organization
Organization Name:THE CENTER FOR COMPASSIONATE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICKETTRIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:850-255-4131
Mailing Address - Street 1:6707 PLANTATION RD STE B3
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6216
Mailing Address - Country:US
Mailing Address - Phone:850-207-7085
Mailing Address - Fax:850-465-3255
Practice Address - Street 1:6707 PLANTATION RD STE B3
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6216
Practice Address - Country:US
Practice Address - Phone:850-207-7085
Practice Address - Fax:850-465-3255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty