Healthcare Provider Details

I. General information

NPI: 1801033220
Provider Name (Legal Business Name): RECAPTURING THE VISION INTERNATIONAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2009
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11205 S DIXIE HWY STE 201
PINECREST FL
33156-4447
US

IV. Provider business mailing address

11205 S DIXIE HWY STE 201
PINECREST FL
33156-4447
US

V. Phone/Fax

Practice location:
  • Phone: 305-232-6003
  • Fax: 305-232-6092
Mailing address:
  • Phone: 305-232-6003
  • Fax: 305-232-6092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number1113AD226601
License Number StateFL

VIII. Authorized Official

Name: JACQUELINE DEL ROSARIO
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 305-232-6003