Vibrant Wellness, Llc | |
1216 Pleasant Valley Blvd Ste 208 Altoona PA 16602-4750 | |
(814) 554-0512 | |
Not Available |
Full Name | Vibrant Wellness, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 1216 Pleasant Valley Blvd Ste 208, Altoona, Pennsylvania |
Authorized Official Name and Position | Susan L Lockard (OWNER) |
Authorized Official Contact | 8145540512 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vibrant Wellness, Llc 1216 Pleasant Valley Blvd Ste 208 Altoona PA 16602-4750 Ph: (814) 554-0512 | Vibrant Wellness, Llc 1216 Pleasant Valley Blvd Ste 208 Altoona PA 16602-4750 Ph: (814) 554-0512 |
NPI Number | 1083331821 |
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Provider Enumeration Date | 10/24/2022 |
Last Update Date | 06/12/2023 |
Certification Date | 06/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083331821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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