Provider Demographics
NPI:1225774268
Name:VIBRANT STEPS, LLC
Entity Type:Organization
Organization Name:VIBRANT STEPS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TASHALY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-770-2512
Mailing Address - Street 1:1533 TECHNOLOGY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5963
Mailing Address - Country:US
Mailing Address - Phone:757-770-2512
Mailing Address - Fax:
Practice Address - Street 1:1533 TECHNOLOGY DR STE 102
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5963
Practice Address - Country:US
Practice Address - Phone:757-770-2512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services