Healthcare Provider Details

I. General information

NPI: 1689501926
Provider Name (Legal Business Name): MENTALHEALTHRESCUE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 S DIXIE HWY STE 105
CORAL GABLES FL
33146-3108
US

IV. Provider business mailing address

1430 S DIXIE HWY STE 105
CORAL GABLES FL
33146-3108
US

V. Phone/Fax

Practice location:
  • Phone: 305-934-5044
  • Fax:
Mailing address:
  • Phone: 305-934-5044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER BEATRIZ GOLLINGER
Title or Position: CEO
Credential: PHD LCSW
Phone: 305-934-5044