Provider Demographics
NPI:1467180141
Name:MIAMI VIBES COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:MIAMI VIBES COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIESCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-886-8422
Mailing Address - Street 1:1705 NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53716-1960
Mailing Address - Country:US
Mailing Address - Phone:608-886-8422
Mailing Address - Fax:
Practice Address - Street 1:2915 BISCAYNE BLVD STE 300-4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4155
Practice Address - Country:US
Practice Address - Phone:786-398-4747
Practice Address - Fax:608-807-5675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty