Healthcare Provider Details

I. General information

NPI: 1841811064
Provider Name (Legal Business Name): TOZZENHOWER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NE MIAMI GARDENS DR STE 212
MIAMI FL
33179-4844
US

IV. Provider business mailing address

1400 NE MIAMI GARDENS DR STE 212
MIAMI FL
33179-4844
US

V. Phone/Fax

Practice location:
  • Phone: 754-225-2120
  • Fax: 888-825-2689
Mailing address:
  • Phone: 754-225-2120
  • Fax: 888-825-2689

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: MRS. MICHELLE OUBADJI
Title or Position: PRESIDENT
Credential: LCSW
Phone: 754-225-2120