Therapeutic Resilience LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERAPEUTIC RESILIENCE LLC

Practice address

80 NW 163Rd St
Miami Gardens, FL 33169-6522

Phone

(305) 713-3261

NPI assigned

Jun 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mimose Montgomery, LCSW

Title

Ceo

Phone

(305) 713-3261

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699056000000",
    "number": "1205520780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NW 163RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696522",
            "telephone_number": "305-713-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NW 163RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331696522",
            "telephone_number": "305-713-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC RESILIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MIMOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-713-3261",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.