Vitality Addiction Solutions of New Iberia, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VITALITY ADDICTION SOLUTIONS OF NEW IBERIA, LLC

Practice address

605 S Lewis St
New Iberia, LA 70560-4820

Phone

(337) 465-1195

NPI assigned

Aug 23, 2022

Organization subpart

Yes

Parent organization

VITALITY ADDICTION SOLUTIONS, LLCAs reported in NPPES

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

Authorized official

Name

Lesley Sherman, RN

Title

Member

Phone

(225) 329-6783

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

Vitality Addiction Solutions LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vitality Addiction Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Iberia, LA
  • NPI 1275252348
  NPPES parent name

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1124747209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82599",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705982599",
            "telephone_number": "337-465-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604820",
            "telephone_number": "337-465-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY ADDICTION SOLUTIONS OF NEW IBERIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITALITY ADDICTION SOLUTIONS, LLC",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "225-329-6783",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@vitalitymanagementgroup.com",
            "affiliation": "N",
            "endpointDescription": "secure email for record exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "605 S Lewis St",
            "city": "New Iberia",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705604820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Lynn Vines, LPC
• Nika M Vinson, M.D.
• Virgil Bryant Management
• Virtuous Residential Partners LLC
• Virtuous Residential Partners LLC
• Vitality Addiction Solutions, LLC
• Vitality Corporate Solutions
• Lan P Vo, RPH
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Psychiatric/Mental Health Nurse Practitioner in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.