Sunnyside Love Extravagant Group Llc

LBN: Sunnyside Love Extravagant Group Llc
Sunnyside Love Extravagant Group Llc is an health care organization with primary practice located at 3600 S State Road 7 Ste 344 , Miramar FL 33023-7203. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Health Educator, Agencies / Case Management, Agencies / Hospice Care, Community Based, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Sunnyside Love Extravagant Group Llc can be contacted via phone (786) 575-3801, or through Taylor-Boone, Tabitha S via phone (786) 575-3801.

Contact Information

Primary practice address
3600 S State Road 7 Ste 344 Miramar FL 33023-7203
Phone: (786) 575-3801
Fax: (877) 384-2630
Website:
Map and Directions
Authorized official contact:
Name: Taylor-Boone, Tabitha S LCSW, CAMS II, NP
Phone: (786) 575-3801

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X
Other Service Providers / Health Educator 174H00000X
Agencies / Case Management 251B00000X
Agencies / Hospice Care, Community Based 251G00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1629603154
LBN Legal business name Sunnyside Love Extravagant Group Llc
DBA Doing business as
Authorized official Taylor-Boone, Tabitha S LCSW, CAMS II, NP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2020
Last updated Aug 8th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629603154 NPPES
Florida Other 1750945689 NPI
Florida MEDICAID 022925900 NPI

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