Healthcare Provider Details

I. General information

NPI: 1033902929
Provider Name (Legal Business Name): TIKVAH HEALING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 GALIANO ST FL 2
CORAL GABLES FL
33134-5402
US

IV. Provider business mailing address

5612 CARRARA DR
AVE MARIA FL
34142-5248
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-1665
  • Fax:
Mailing address:
  • Phone: 305-742-1642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TIJUANA TOLEDO
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LCSW
Phone: 305-204-1665