Provider Demographics
NPI:1437027711
Name:JUST PIVOT WELLNESS LLC
Entity type:Organization
Organization Name:JUST PIVOT WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SYEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-785-3613
Mailing Address - Street 1:3625 NW 82ND AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7602
Mailing Address - Country:US
Mailing Address - Phone:305-785-3613
Mailing Address - Fax:
Practice Address - Street 1:3625 NW 82ND AVE STE 400
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-7602
Practice Address - Country:US
Practice Address - Phone:305-785-3613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty