Vantage Therapy a Licensed Clinical Social Worker Corporation

Primary specialty

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

Legal business name

VANTAGE THERAPY A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

2001 Vestal Ave Apt 3
Los Angeles, CA 90026-1967

Phone

(207) 712-0470

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Emily Harris, LCSWNPI 1417500463

Title

Ceo

Phone

(207) 712-0470

Specialties & licenses 1

Addresses

Other names 1

• Vantage Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Harris

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1417500463
  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1487415824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261044",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900260707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 VESTAL AVE APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900261967",
            "telephone_number": "207-712-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE THERAPY A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-712-0470",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vantage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terrell Vansciver
• Jessalyn Tejada Vanscoy
• Alexander Lee Vanspeybroeck, MD
• Erik B Vanstrum
• Tisha Gina Vanta
• Alexandria Vantuyl
• Teresa Lynn Vanvranken, DPT
• Kristi Ranae Vanwinden, M.D.
• Jason Vanzant
• Tanya Vapnik, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.