| Positive Pineapple Therapy, Llc | |
|
1485 37th St Ste 112b Vero Beach FL 32960-6518 | |
| (772) 300-5885 | |
| Not Available |
| Full Name | Positive Pineapple Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1485 37th St Ste 112b, Vero Beach, Florida |
| Authorized Official Name and Position | Jacqueline Dee Vitek (OWNER) |
| Authorized Official Contact | 7723005885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Pineapple Therapy, Llc 1485 37th St Ste 112b Vero Beach FL 32960-6518 Ph: (772) 300-5885 | Positive Pineapple Therapy, Llc 1485 37th St Ste 112b Vero Beach FL 32960-6518 Ph: (772) 300-5885 |
| NPI Number | 1932814019 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 9537510243 |
|---|---|
| Medicare Enrollment ID | O20240108000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932814019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Dee Vitek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780933176 PECOS PAC ID: 0446601157 Enrollment ID: I20240108000386 |
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