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Organization
JTLC COLLECTIVE LLC
Active
Organization
JTLC COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER T LEWIS LMSW-C, LCSW, LICSW (MANAGER/CLINICAL THERAPIST)
(586) 840-8614
Entity
Organization
Contact information
Practice address
62 NE 167TH ST, SUITE 1113, MIAMI, FL 33162-3401
(586) 840-8614
(586) 501-1664
Mailing address
62 NE 167TH ST, MIAMI, FL 33162-3401
(586) 840-8614
(586) 501-1664
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
2084P0800X
Psychiatry Physician
—
—
221700000X
Art Therapist
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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