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NPI 1679423891

NPI 1679423891 : HI 5 HEALTH LLC : MIAMI LAKES, FL

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General NPI Number Information
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    NPI Number           |    1679423891
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    Entity Type          |    Organization 
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    Legal Business Name  |    HI 5 HEALTH LLC 
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Dates
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    Enumeration Date     |    01/28/2026
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    Last Update Date     |    01/28/2026
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Provider Practice Location Address
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    Address Line         |    5901 NW 151ST ST STE 116 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-2454
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    Country              |    US
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    Telephone            |    754-206-8240
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5901 NW 151ST ST STE 116 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-2454
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    Country              |    US
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    Telephone            |    754-206-8240
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO / PRESIDENT
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    Name                 |     JUAN C GOMEZ 
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    Credential           |    
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    Telephone            |    754-206-8240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225XM0800X
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    Taxonomy Name        |    Mental Health Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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