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SUNNYSIDE LOVE EXTRAVAGANT GROUP LLC
NPI 1629603154
Social Worker - Clinical in Miramar, FL

Active since March 04, 2020
3600 S STATE ROAD 7 STE 344, MIRAMAR, FL 33023(786) 575-3801(877) 384-2630 Get Directions Write a Review

NPPES record last updated: August 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2021, Jan 22, 2021, Jan 8, 2021 and 1 more (4 updates tracked since 2020).

About Sunnyside Love Extravagant Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNNYSIDE LOVE EXTRAVAGANT GROUP LLC (NPI 1629603154) is a healthcare organization registered as a clinical in Miramar, Florida and active in the NPI registry since March 2020. The organization maintains a secondary practice location in Miami and lists Tabitha S Taylor-boone, Owner, as its authorized official.

NPPES Registry Identity

NPI1629603154
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSUNNYSIDE LOVE EXTRAVAGANT GROUP LLC
Location Address3600 S STATE ROAD 7 STE 344Miramar, FL 33023-7203
Mailing Address3600 S State Road 7 Ste 344Miramar, FL 33023-7203 · (786) 575-3801
Phone(786) 575-3801
Fax(877) 384-2630
Organization SubpartNo
Authorized OfficialTabitha S Taylor-booneOwner · (786) 575-3801
Enumeration DateMarch 4, 2020
Last NPPES UpdateAugust 8, 20214 updates tracked since enumeration
NPPES CertifiedAugust 8, 2021
✔ NPI 1629603154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
Also ListedHealth EducatorTaxonomy 174H00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
3600 S STATE ROAD 7 STE 344, Miramar, FL 33023
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Secondary Practice Location 1

Location 11701 W Flagler St Ste 310Miami, FL 33135-2099 · Phone (786) 575-3801 · Fax (786) 342-9163

Other Identifiers 2

Medicaid022925900FL
Other1750945689FL · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLOOMING BEHAVIORAL HEALTH INC
Behavior Analyst
3600 S STATE ROAD 7 STE 344
MIRAMAR, FL 33023
Broward County (754) 799-3780
BLOOMING BEHAVIORAL HEALTH INC
Clinic/Center
3600 S STATE ROAD 7 STE 344
MIRAMAR, FL 33023
Broward County (754) 799-3780
RONALD BERNARD BOONE JR. PEST CONTROL OPERATO
Contractor
3600 S STATE ROAD 7 STE 344
MIRAMAR, FL 33023
Broward County (954) 404-6600
MARIA DE LOS ANGELES CASTRO
Behavior Technician
3600 S STATE ROAD 7 STE 344
MIRAMAR, FL 33023
Broward County (754) 799-3780
A TRUE PROFESSIONAL LLC
Contractor
3600 S STATE ROAD 7 STE 344
MIRAMAR, FL 33023
Broward County (954) 404-6600
MEREELYN LAURA SANTOS RBT
Behavior Technician
3600 S STATE ROAD 7 STE 344
MIRAMAR, FL 33023
Broward County (754) 799-3780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunnyside Love Extravagant Group LLC's NPI number?

The NPI number for Sunnyside Love Extravagant Group LLC is 1629603154. It was assigned to this organization in the NPPES registry on March 4, 2020.

Where is Sunnyside Love Extravagant Group LLC located?

Sunnyside Love Extravagant Group LLC is located at 3600 S State Road 7 Ste 344, Miramar, FL 33023. The listed phone number is (786) 575-3801.

What is Sunnyside Love Extravagant Group LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Sunnyside Love Extravagant Group LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sunnyside Love Extravagant Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunnyside Love Extravagant Group LLC was last updated on August 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.