Organization
BRAIN REVAMP CLINIC LLC
Active
Organization
BRAIN REVAMP CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA V ROMERO LCSW LICSW (LCSW/OWNER)
(786) 383-2779
Entity
Organization
Contact information
Practice address
7900 SW 57TH AVE STE 24, SOUTH MIAMI, FL 33143-5546
(305) 726-9757
Mailing address
14 NE 1ST AVE STE 14031225, MIAMI, FL 33132-2431
(786) 383-2779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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