| Jtlc Collective Llc | |
|
62 Ne 167th St Suite 1113 Miami FL 33162-3401 | |
| (586) 840-8614 | |
| (586) 501-1664 |
| Full Name | Jtlc Collective Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 62 Ne 167th St, Miami, Florida |
| Authorized Official Name and Position | Jennifer T Lewis (MANAGER/CLINICAL THERAPIST) |
| Authorized Official Contact | 5868408614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jtlc Collective Llc 62 Ne 167th St Miami FL 33162-3401 Ph: (586) 840-8614 | Jtlc Collective Llc 62 Ne 167th St Suite 1113 Miami FL 33162-3401 Ph: (586) 840-8614 |
| NPI Number | 1588537153 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588537153 | NPI | - | NPPES |
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