Organization Active NPI

Sunny South Behavioral Health and Consulting LLC

  • Clinical Social Worker
  • Hallandale Beach, FL
National Provider Identifier
1699367623
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUNNY SOUTH BEHAVIORAL HEALTH AND CONSULTING LLC
Practice address
411 N Federal Hwy Apt 716
Hallandale Beach, FL 33009-3488
Phone
(954) 546-2522
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Miranda Ann Herbert, LCSW
Title
LCSW/Owner
Phone
(954) 546-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

411 N Federal Hwy Apt 716
Hallandale Beach, FL 33009-3488

Mailing address

411 N Federal Hwy Apt 716
Hallandale Beach, FL 33009-3488
Phone (954) 546-2522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1699367623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N FEDERAL HWY APT 716",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093488",
            "telephone_number": "954-546-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N FEDERAL HWY APT 716",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093488",
            "telephone_number": "954-546-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SOUTH BEHAVIORAL HEALTH AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "954-546-2522",
        "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": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.