Vitality Addiction Solutions, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VITALITY ADDICTION SOLUTIONS, LLC

Practice address

605 S Lewis St
New Iberia, LA 70560-4820

Phone

(337) 465-1195

NPI assigned

Aug 23, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Organization subpart

No

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 2

Addresses

Electronic endpoints 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Vitality Addiction Solutions of New Iberia, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Iberia, LA
  • NPI 1124747209
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Guilbeau, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1952407728
  NPD (past)

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1275252348",
    "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": "337-288-1908"
        },
        {
            "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, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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": []
}

• Nika M Vinson, M.D.
• Virgil Bryant Management
• Virtuous Residential Partners LLC (Virtuous Residential Partners)
• Virtuous Residential Partners LLC (Virtuous Residential Partners)
• Vitality Addiction Solutions of New Iberia, LLC
• Vitality Corporate Solutions
• Lan P Vo, RPH
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5773)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0533)
• Wal-Mart Stores Lousiana, LLC (Vision Center 30-0533)

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.