| Vital Integrated Therapy And Wellness | |
|
714 W White Horse Pike Egg Harbor City NJ 08215-3838 | |
| (609) 385-5343 | |
| Not Available |
| Full Name | Vital Integrated Therapy And Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 714 W White Horse Pike, Egg Harbor City, New Jersey |
| Authorized Official Name and Position | Valbona Jonuzi (CO-OWNER/ THERAPIST) |
| Authorized Official Contact | 6093855343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Integrated Therapy And Wellness 178 Tuckahoe Rd Estell Manor NJ 08319-1745 Ph: (609) 432-6331 | Vital Integrated Therapy And Wellness 714 W White Horse Pike Egg Harbor City NJ 08215-3838 Ph: (609) 385-5343 |
| NPI Number | 1689330508 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Medicare PECOS PAC ID | 1951777127 |
|---|---|
| Medicare Enrollment ID | O20221013002252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689330508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lita Ellsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831725043 PECOS PAC ID: 1456727585 Enrollment ID: I20221014001464 |
| Provider Name | Valbona Jonuzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306369145 PECOS PAC ID: 2264802107 Enrollment ID: I20230606001107 |
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