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General NPI Number Information
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NPI Number | 1740130392
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Entity Type | Organization
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Legal Business Name | LETSTHRIVEMH CORPORATION
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 237 S DIXIE HWY, 4TH FLOOR, SUITE #51
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City | CORAL GABLES
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State | FL
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Zip | 33133-4824
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Country | US
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Telephone | 305-510-2509
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Fax |
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Provider Business Mailing Address
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Address Line | 4331 SW 12TH ST
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City | MIAMI
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State | FL
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Zip | 33134-2712
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Country | US
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Telephone | 305-510-2509
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON BORREGO
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Credential | PMHNP
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Telephone | 305-510-2509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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