Provider Demographics
NPI:1972001402
Name:VIGORITO COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:VIGORITO COUNSELING AND CONSULTING
Other - Org Name:VIGORITO COUNSELING AND CONSULTING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:VIGORITO
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:202-417-7171
Mailing Address - Street 1:3000 CONNECTICUT AVE NW STE 134
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-2533
Mailing Address - Country:US
Mailing Address - Phone:202-417-7171
Mailing Address - Fax:877-238-3317
Practice Address - Street 1:3000 CONNECTICUT AVE NW STE 134
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2533
Practice Address - Country:US
Practice Address - Phone:202-417-7171
Practice Address - Fax:877-238-3317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)