| Vibrant Wellness, Llc | |
|
1216 Pleasant Valley Blvd Ste 208 Altoona PA 16602-4750 | |
| (814) 554-0512 | |
| Not Available |
| Full Name | Vibrant Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1216 Pleasant Valley Blvd Ste 208, Altoona, Pennsylvania |
| Authorized Official Name and Position | Susan L Lockard (OWNER) |
| Authorized Official Contact | 8145540512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Wellness, Llc 1216 Pleasant Valley Blvd Ste 208 Altoona PA 16602-4750 Ph: (814) 554-0512 | Vibrant Wellness, Llc 1216 Pleasant Valley Blvd Ste 208 Altoona PA 16602-4750 Ph: (814) 554-0512 |
| NPI Number | 1083331821 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 4082152640 |
|---|---|
| Medicare Enrollment ID | O20240813004409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083331821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Susan L Lockard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699390906 PECOS PAC ID: 5991243552 Enrollment ID: I20240813004473 |
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