| Vibewell Therapy | |
|
2145 Ne 164th St North Miami Beach FL 33162-4196 | |
| (786) 361-8227 | |
| Not Available |
| Full Name | Vibewell Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 2145 Ne 164th St, North Miami Beach, Florida |
| Authorized Official Name and Position | Michelle Chaffardet (SOLE MEMBER) |
| Authorized Official Contact | 3059705519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibewell Therapy 2145 Ne 164th St Apt 144 North Miami Beach FL 33162-4200 Ph: () - | Vibewell Therapy 2145 Ne 164th St North Miami Beach FL 33162-4196 Ph: (786) 361-8227 |
| NPI Number | 1043085103 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/19/2023 |
| Medicare PECOS PAC ID | 8729437207 |
|---|---|
| Medicare Enrollment ID | O20231208001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043085103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Michelle Chaffardet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265210348 PECOS PAC ID: 9638528110 Enrollment ID: I20231208002075 |
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