Provider Demographics
NPI:1467875195
Name:ADACHE, VIANY E (M ED)
Entity Type:Individual
Prefix:MRS
First Name:VIANY
Middle Name:E
Last Name:ADACHE
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 HARBOUR ISLE DR W UNIT 206
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34949-2781
Mailing Address - Country:US
Mailing Address - Phone:772-200-8671
Mailing Address - Fax:
Practice Address - Street 1:29 HARBOUR ISLE DR W UNIT 206
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34949-2781
Practice Address - Country:US
Practice Address - Phone:772-200-8671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist