Vico LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VICO LLC

Practice address

2766 Elkmont RDG SW
Atlanta, GA 30331-9434

Phone

(404) 532-9926

Fax

(866) 862-9942

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Violetta Ardoin

Title

Owner

Phone

(404) 532-9926

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1184059198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 ELKMONT RDG SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303319434",
            "telephone_number": "404-532-9926",
            "fax_number": "866-862-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 ELKMONT RDG SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303319434",
            "telephone_number": "404-532-9926",
            "fax_number": "866-862-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "ARDOIN",
        "authorized_official_first_name": "VIOLETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-532-9926"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayci L Vickers, PHD
• Sabrina Vickers
• Stephanie Anne Vickers, CNP
• Vinceint A Vickers
• Brian Vickery, MD
• Victor D. Van Greuningen,D.M.D.,P.C.
• Victor G. Polizos MD PC
• Sindy Victor, BCBA, LBA
• Tracey Victor, RN
• Victoria B. Cameron

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.