Provider Demographics
NPI:1689330508
Name:VITAL INTEGRATED THERAPY AND WELLNESS
Entity Type:Organization
Organization Name:VITAL INTEGRATED THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:VALBONA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONUZI
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:609-385-5343
Mailing Address - Street 1:178 TUCKAHOE RD
Mailing Address - Street 2:
Mailing Address - City:ESTELL MANOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08319-1745
Mailing Address - Country:US
Mailing Address - Phone:609-432-6331
Mailing Address - Fax:
Practice Address - Street 1:714 W WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:EGG HARBOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08215-3838
Practice Address - Country:US
Practice Address - Phone:609-385-5343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty