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: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 CASTELLO DR STE 226
NAPLES FL
34103-8986
US

IV. Provider business mailing address

5051 CASTELLO DR STE 226
NAPLES FL
34103-8986
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-1665
  • Fax:
Mailing address:
  • Phone: 239-504-1077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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