Isabel Taylor LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ISABEL TAYLOR LLC

Doing business as

Sunnyside Love Extravagant Group

Practice address

1701 W Flagler St Ste 310
Miami, FL 33135-2099

Phone

(786) 467-7006

Fax

(786) 999-0971

NPI assigned

Apr 25, 2019

Organization subpart

Yes

Parent organization

ISABEL TAYLOR LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Tabitha Sherelle Taylor-Boone, LCSW

Title

Clinical Social Worker

Phone

(786) 575-3801

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Sunnyside Love Extravagant Group Doing business as

Part of

Isabel Taylor LLC

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1750945689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 RIVER RUN CIR E",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254429",
            "telephone_number": "786-575-3801",
            "fax_number": "954-342-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W FLAGLER ST STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352099",
            "telephone_number": "786-467-7006",
            "fax_number": "786-999-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 River Run Cir E",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330254429",
            "country_code": "US",
            "telephone_number": "786-575-3801",
            "fax_number": "954-342-9163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISABEL TAYLOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISABEL TAYLOR LLC",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-BOONE",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "SHERELLE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "786-575-3801",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022925900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Love Extravagant Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunnyside Love Extravagant Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan Marie Isaacs, APRN
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• Isabel K. Yague Arnp, Inc.
• Isabel Rico MD PA
• Isabela Pharmacy Inc
• Isabella Pharmacy
• Isabella Pharmacy and Discount
• Isaias Medical Center LLC
• Isar Medical Center Inc

• Clinical Social Worker in Miami, FL
• Providers in Miami, 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 Jul 25, 2019; 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.