| Vibrant Mind | |
|
1037 N Mitchell St Ste 12 Cadillac MI 49601-1287 | |
| (616) 259-0985 | |
| (231) 208-8528 |
| Full Name | Vibrant Mind |
|---|---|
| Speciality | Social Worker |
| Location | 1037 N Mitchell St Ste 12, Cadillac, Michigan |
| Authorized Official Name and Position | Abbi Mankiewicz (OWNER) |
| Authorized Official Contact | 6162590985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Mind 1037 N Mitchell St Ste 12 Cadillac MI 49601-1287 Ph: (616) 259-0985 | Vibrant Mind 1037 N Mitchell St Ste 12 Cadillac MI 49601-1287 Ph: (616) 259-0985 |
| NPI Number | 1518674837 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Medicare PECOS PAC ID | 7315316650 |
|---|---|
| Medicare Enrollment ID | O20221208002575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518674837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Abbi Mankiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629301205 PECOS PAC ID: 6406010727 Enrollment ID: I20120615000438 |
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