# RECIPROCATE 1906 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780012187
- **Authorized official:** DUSTIN I GOLLOPP SR. M.S. (PRESIDENT)
- **Authorized official phone:** (786) 916-3660

## Contact information

- **Practice address:** 18425 NW 2ND AVE STE 330, MIAMI, FL 33169-4534
- **Practice address phone:** (786) 916-3660
- **Practice address fax:** (786) 916-3662
- **Mailing address:** PO BOX 694881, MIAMI, FL 33269-1881
- **Mailing address phone:** (786) 916-3660
- **Mailing address fax:** (786) 916-3662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2013
- **Last updated:** 10/22/2013