Provider Demographics
NPI:1750030706
Name:VIBRATIONS MENTAL HEALTH LLC
Entity type:Organization
Organization Name:VIBRATIONS MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CERISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:608-228-4610
Mailing Address - Street 1:2801 INTERNATIONAL LN STE 207
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3152
Mailing Address - Country:US
Mailing Address - Phone:609-228-4610
Mailing Address - Fax:
Practice Address - Street 1:2317 INTERNATIONAL LN
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3129
Practice Address - Country:US
Practice Address - Phone:608-906-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)