| Vibe Therapy, Lcsw Pllc | |
|
1850 Amsterdam Ave New York NY 10031-1714 | |
| (347) 508-2344 | |
| (929) 224-3207 |
| Full Name | Vibe Therapy, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1850 Amsterdam Ave, New York, New York |
| Authorized Official Name and Position | Darryl Nicholson-sansani (OWNER) |
| Authorized Official Contact | 3472010154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibe Therapy, Lcsw Pllc 1850 Amsterdam Ave New York NY 10031-1714 Ph: (347) 508-2344 | Vibe Therapy, Lcsw Pllc 1850 Amsterdam Ave New York NY 10031-1714 Ph: (347) 508-2344 |
| NPI Number | 1285390294 |
|---|---|
| Provider Enumeration Date | 11/14/2021 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 3072985365 |
|---|---|
| Medicare Enrollment ID | O20240226002714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285390294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Darryl Nicholson-sansani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194098707 PECOS PAC ID: 3173773744 Enrollment ID: I20121017000816 |
| Provider Name | Michelle A Murdock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992248777 PECOS PAC ID: 3678980273 Enrollment ID: I20210326001354 |
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