Provider Demographics
NPI:1932814019
Name:POSITIVE PINEAPPLE THERAPY, LLC
Entity Type:Organization
Organization Name:POSITIVE PINEAPPLE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:VITEK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:772-300-5885
Mailing Address - Street 1:1485 37TH ST STE 112B
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6518
Mailing Address - Country:US
Mailing Address - Phone:772-300-5885
Mailing Address - Fax:
Practice Address - Street 1:1485 37TH ST STE 112B
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6518
Practice Address - Country:US
Practice Address - Phone:772-300-5885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty