Healthcare Provider Details

I. General information

NPI: 1194663997
Provider Name (Legal Business Name): MY LITTLE MIRACLE THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7540 W 20TH AVE APT 204
HIALEAH FL
33016-5558
US

IV. Provider business mailing address

7540 W 20TH AVE APT 204
HIALEAH FL
33016-5558
US

V. Phone/Fax

Practice location:
  • Phone: 305-924-2846
  • Fax:
Mailing address:
  • Phone: 305-924-2846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MAYULI LALCEBO
Title or Position: PRESIDENT
Credential:
Phone: 305-924-2846