1629659438 NPI number — VITALITY KIDS COUNSELING GROUP

Table of content: (NPI 1629659438)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629659438 NPI number — VITALITY KIDS COUNSELING GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VITALITY KIDS COUNSELING GROUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629659438
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/14/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
229 DEL PRADO BLVD N STE 9
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAPE CORAL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33909-2266
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-384-0799
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
229 DEL PRADO BLVD N STE 9
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAPE CORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33909-2266
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-384-0799
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2021

Additional Information

Authorized Official

Authorized Official Last Name:
MIRANDA
Authorized Official First Name:
EDEL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
786-384-0799

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: BT21-90373 . This is a "LICENSE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 110199300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com