SOCIAL DIVERSITY LLC NPI 1245863448

NPI Information

  • NPI: 1245863448
  • Provider Name: SOCIAL DIVERSITY LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Former Legal Business Name: SOCIAL DIVERSITY LLC
  • Address: 12001 SW 128TH CT STE 101
    MIAMI, FL
    ZIP 33186
  • Phone: (786) 975-7485

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NPI Details

SOCIAL DIVERSITY LLC is a community behavioral health in Miami, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SOCIAL DIVERSITY LLC NPI is 1245863448. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Social Diversity Llc.

The provider's business location address is:

12001 SW 128TH CT STE 101
MIAMI, FL
ZIP 33186-665
Phone: (786) 975-7485

The provider's authorized official is Esel Aguilar .
The authorized official title is Owner/ceo and has the following contact phone number (786) 975-7485.

The enumeration date for this NPI number is 2/16/2020 and was last updated on 5/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineNo
3208000000XPediatricsNo
4251B00000XCase ManagementNo
5261QH0100XClinic/CenterHealth ServiceNo
6363LF0000XNurse PractitionerFamilyNo
7251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CBHCMS100118OTHERFLORIDAFLORIDA CERTIFICATION BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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