| Vibrance Art Therapy | |
|
27733 John R Rd # 1062 Madison Heights MI 48071-3368 | |
| (313) 744-2417 | |
| (313) 751-3695 |
| Full Name | Vibrance Art Therapy |
|---|---|
| Speciality | Counselor |
| Location | 27733 John R Rd # 1062, Madison Heights, Michigan |
| Authorized Official Name and Position | Kalle Pasch (OWNER) |
| Authorized Official Contact | 3137442417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrance Art Therapy 27733 John R Rd # 1062 Madison Heights MI 48071-3368 Ph: (313) 744-2417 | Vibrance Art Therapy 27733 John R Rd # 1062 Madison Heights MI 48071-3368 Ph: (313) 744-2417 |
| NPI Number | 1760230619 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 0547785545 |
|---|---|
| Medicare Enrollment ID | O20250423000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760230619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Kalle Pasch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841941523 PECOS PAC ID: 2264957299 Enrollment ID: I20250422002752 |
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