Organization
IMMACULATE RESULTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KICIA DANIEL (DIRECTOR)
(954) 478-7809
Entity
Organization
Contact information
Practice address
5555 NW 95TH AVE, SUNRISE, FL 33351-4320
(954) 478-7809
Mailing address
8551 NW 80TH ST, TAMARAC, FL 33321-1664
(954) 478-7809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
1041S0200X
School Social Worker
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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