Vibrant Soul LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VIBRANT SOUL LLC

Practice address

6 Way Rd Ste 217
Middlefield, CT 06455-1080

Phone

(860) 994-8556

NPI assigned

Mar 1, 2021

Last updated

Mar 28, 2023By 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

Vanessa Lee Cosme, MS, LMFTNPI 1356826150

Title

Owner

Phone

(860) 994-8556

Specialties & licenses 1

Addresses

Locations

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.

• Vanessa Lee Cosme, MS LMFT

  • Marriage & Family Therapist
  • Middlefield, CT
  • NPI 1356826150
  NPD Authorized official

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1326632415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WAY RD STE 217",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551080",
            "telephone_number": "860-994-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WAY RD STE 217",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551080",
            "telephone_number": "860-994-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "COSME",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-994-8556",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Middlefield, CT
• Providers in Middlefield, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.