Provider Demographics
NPI:1245088624
Name:HIGH VIBES THERAPY CIRLE AND SELFCARE SALON PLLC
Entity type:Organization
Organization Name:HIGH VIBES THERAPY CIRLE AND SELFCARE SALON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILY
Authorized Official - Middle Name:GINNEL
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MFTI
Authorized Official - Phone:682-331-0707
Mailing Address - Street 1:3330 LAS VEGAS BLVD N APT 1026
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-1530
Mailing Address - Country:US
Mailing Address - Phone:682-331-0707
Mailing Address - Fax:
Practice Address - Street 1:3330 LAS VEGAS BLVD N APT 1026
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-1530
Practice Address - Country:US
Practice Address - Phone:682-331-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty