Vitalistic Therapeutic Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

232260 Issued in PA

Legal business name

VITALISTIC THERAPEUTIC CENTER

Practice address

1406 W Hamilton St
Allentown, PA 18102-4225

Phone

(610) 433-4383

NPI assigned

Jan 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Naomi Grossman

Title

Executive Director

Phone

(610) 861-7570

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003965088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W HAMILTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024225",
            "telephone_number": "610-433-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALISTIC THERAPEUTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-861-7570",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "232260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01221740",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vision Loss Solutions, LLC
• Visionworks, Inc
• Visionworks, Inc.
• Visit Vans LLC
• Breanna Vitaletti, LSW
• Vitality Care Services LLC
• Concetta M Vivian, C.R.N.A.
• Katelynn Vlahos, DO
• Thu Vo, CRNP
• Nathan Vogels

• Mental Health Counselor in Allentown, PA
• Providers in Allentown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.