| Vibrations Mental Health Llc | |
|
2317 International Ln Madison WI 53704-3129 | |
| (608) 906-2333 | |
| Not Available |
| Full Name | Vibrations Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2317 International Ln, Madison, Wisconsin |
| Authorized Official Name and Position | Cerissa Wills (OWNER/ MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 6082284610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrations Mental Health Llc 2801 International Ln Ste 207 Madison WI 53704-3152 Ph: (609) 228-4610 | Vibrations Mental Health Llc 2317 International Ln Madison WI 53704-3129 Ph: (608) 906-2333 |
| NPI Number | 1750030706 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 5092253286 |
|---|---|
| Medicare Enrollment ID | O20240820000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750030706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cerissa Jean Wills |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023301512 PECOS PAC ID: 6901344191 Enrollment ID: I20240821000646 |
| Provider Name | Denise Joan Cole |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083989552 PECOS PAC ID: 2365981339 Enrollment ID: I20240822002778 |
| Provider Name | Caitlin Marie Roberts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639678964 PECOS PAC ID: 8527599372 Enrollment ID: I20241003001394 |
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