| Vibrant Counseling And Wellness Llc | |
|
2710 Summerview Way Apt 302 Annapolis MD 21401-7760 | |
| (410) 533-8940 | |
| Not Available |
| Full Name | Vibrant Counseling And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2710 Summerview Way Apt 302, Annapolis, Maryland |
| Authorized Official Name and Position | Shirley A Herbert (SOLE MEMBER/DIRECTOR) |
| Authorized Official Contact | 4105338930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Counseling And Wellness Llc 2710 Summerview Way Apt 302 Annapolis MD 21401-7760 Ph: (410) 533-8940 | Vibrant Counseling And Wellness Llc 2710 Summerview Way Apt 302 Annapolis MD 21401-7760 Ph: (410) 533-8940 |
| NPI Number | 1174297477 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Medicare PECOS PAC ID | 9133572407 |
|---|---|
| Medicare Enrollment ID | O20240202001146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174297477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shirley A Herbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407478019 PECOS PAC ID: 1951754225 Enrollment ID: I20240202001299 |
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