| Vibrant Comprehensive Services Llc | |
|
16310 Tomball Pkwy Unit 1503 Houston TX 77064-1812 | |
| (252) 382-2522 | |
| Not Available |
| Full Name | Vibrant Comprehensive Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 16310 Tomball Pkwy Unit 1503, Houston, Texas |
| Authorized Official Name and Position | Louis Anthony Rawls (OWNER) |
| Authorized Official Contact | 2523822522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Comprehensive Services Llc 16310 Tomball Pkwy Unit 1503 Houston TX 77064-1812 Ph: (252) 382-2522 | Vibrant Comprehensive Services Llc 16310 Tomball Pkwy Unit 1503 Houston TX 77064-1812 Ph: (252) 382-2522 |
| NPI Number | 1891166518 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Medicare PECOS PAC ID | 7810291481 |
|---|---|
| Medicare Enrollment ID | O20160203000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891166518 | NPI | - | NPPES |
| 3550436 | Medicaid | TX |
| Provider Name | Stacey Rawls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043249774 PECOS PAC ID: 6901903327 Enrollment ID: I20160111000649 |
| Provider Name | Hope Idorenyin Essien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083167886 PECOS PAC ID: 4284920042 Enrollment ID: I20180322000196 |
| Provider Name | Ololade Sule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124573688 PECOS PAC ID: 6709279524 Enrollment ID: I20220131000909 |
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