Provider Demographics
NPI:1285396564
Name:POSITIVE VIBRATIONS LLC
Entity type:Organization
Organization Name:POSITIVE VIBRATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:NOE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-751-4036
Mailing Address - Street 1:7359 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6121
Mailing Address - Country:US
Mailing Address - Phone:734-751-4036
Mailing Address - Fax:
Practice Address - Street 1:7359 KNOLLWOOD DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-6121
Practice Address - Country:US
Practice Address - Phone:734-751-4036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health