Provider Demographics
NPI:1508529116
Name:VASQUEZ COUNSELING AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:VASQUEZ COUNSELING AND WELLNESS, PLLC
Other - Org Name:VIVIAN VASQUEZ, MFT, LPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:734-733-8796
Mailing Address - Street 1:13566 ORCHARD VIEW ST
Mailing Address - Street 2:
Mailing Address - City:CARLETON
Mailing Address - State:MI
Mailing Address - Zip Code:48117-9448
Mailing Address - Country:US
Mailing Address - Phone:734-733-8796
Mailing Address - Fax:
Practice Address - Street 1:13566 ORCHARD VIEW ST
Practice Address - Street 2:
Practice Address - City:CARLETON
Practice Address - State:MI
Practice Address - Zip Code:48117-9448
Practice Address - Country:US
Practice Address - Phone:734-733-8796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty