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

Organization Counselor · NPI 1629603154

Sunnyside Love Extravagant Group LLC is a Counselor in Miramar, Florida. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
15
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3600 S State Road 7 Ste 344
Miramar, FL 33023-7203
Phone: (786) 575-3801
Fax: (877) 384-2630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 W Flagler St Ste 310, Miami, FL 33135-2099 — (786) 575-3801

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
School Counselor Taxonomy 101YS0200X
Behavior Analyst Taxonomy 103K00000X
Social Worker Taxonomy 104100000X
School Social Worker Taxonomy 1041S0200X
Health Educator Taxonomy 174H00000X
Case Management Agency Taxonomy 251B00000X
Community Based Hospice Care Agency Taxonomy 251G00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1629603154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tabitha Taylor-Boone — Owner · (786) 575-3801
NPI enumeratedMarch 4, 2020
Last updated in NPPESAugust 8, 2021
Certification dateAugust 8, 2021
Mailing address3600 S State Road 7 Ste 344, Miramar, FL 33023-7203

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