Healthcare Provider Details

I. General information

NPI: 1285504753
Provider Name (Legal Business Name): LIVING YOUR BEST LIFE SUPPORTIVE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3999 NW 163RD ST
MIAMI GARDENS FL
33054-6286
US

IV. Provider business mailing address

3999 NW 163RD ST
MIAMI GARDENS FL
33054-6286
US

V. Phone/Fax

Practice location:
  • Phone: 561-288-0080
  • Fax:
Mailing address:
  • Phone: 561-288-0080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: SHEREE C OJO
Title or Position: OWNER
Credential: LCSW
Phone: 561-288-0080