Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Roots of Life

Organization Adult Mental Health Clinic/Center · NPI 1053151902

My Roots of Life is an Adult Mental Health Clinic/Center in Miami, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12863 SW 42nd St
Miami, FL 33175-3434
Phone: (786) 234-1609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1053151902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vilma Garrido Riquenes — License Mental Health Counselor · (786) 234-1609
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address17025 Nw 52nd Pl, Miami Gardens, FL 33055-4018

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