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Organization
ISABEL TAYLOR LLC
Active
Organization
ISABEL TAYLOR LLC
Active
Parent organization
ISABEL TAYLOR LLC
Other names
Sunnyside Love Extravagant Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISABEL TAYLOR LLC
Authorized official
MRS. TABITHA SHERELLE TAYLOR-BOONE LCSW (CLINICAL SOCIAL WORKER)
(786) 575-3801
Entity
Organization
Contact information
Practice address
1701 W FLAGLER ST STE 310, MIAMI, FL 33135-2099
(786) 467-7006
(786) 999-0971
Mailing address
2790 RIVER RUN CIR E, MIRAMAR, FL 33025-4429
(786) 575-3801
(954) 342-9163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022925900
—
FL
Enumeration date
04/25/2019
Last updated
07/25/2019
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