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Sunnyside Love Extravagant Group LLC

NPI 1629603154ActiveOrganization· Social Worker, Clinical· Miramar, FL

Social Worker, Clinical in Miramar, Florida, registered in NPPES in March 2020. The authorized official on file is Tabitha S. Taylor-Boone, LCSW, CAMS II, NP, Owner.

Overview

NPI1629603154
StatusActive
Entity typeOrganization
NPI issuedMar 4, 2020
Last updated in NPPESAug 8, 2021
Certified by providerAug 8, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——
Counselor101Y00000X——
Counselor, Mental Health101YM0800X——
Counselor, Professional101YP2500X——
Counselor, School101YS0200X——
Behavior Analyst103K00000X——
Social Worker104100000X——
Social Worker, School1041S0200X——
Health Educator174H00000X——
Case Management251B00000X——
Hospice Care, Community Based251G00000X——
Community/Behavioral Health251S00000X——
In Home Supportive Care253Z00000X——
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X——
Clinic/Center, Adult Mental Health261QM0850X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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