Healthcare Provider Details

I. General information

NPI: 1851976237
Provider Name (Legal Business Name): SUNSHINE FOREVER BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 NW 18TH TER STE 102
DORAL FL
33172-2629
US

IV. Provider business mailing address

8725 NW 18TH TER STE 102
DORAL FL
33172-2629
US

V. Phone/Fax

Practice location:
  • Phone: 786-857-6922
  • Fax: 786-524-2401
Mailing address:
  • Phone: 786-857-6922
  • Fax: 786-524-2401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOEL FIGUEROA
Title or Position: PRESIDENT
Credential:
Phone: 305-965-4987