Provider Demographics
NPI:1548931363
Name:ESSENTIAL VIBRATIONS COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:ESSENTIAL VIBRATIONS COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:QUINATONA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-897-5501
Mailing Address - Street 1:3991 ORDINARY LOOP
Mailing Address - Street 2:
Mailing Address - City:HAYES
Mailing Address - State:VA
Mailing Address - Zip Code:23072-2955
Mailing Address - Country:US
Mailing Address - Phone:757-897-5501
Mailing Address - Fax:
Practice Address - Street 1:3991 ORDINARY LOOP
Practice Address - Street 2:
Practice Address - City:HAYES
Practice Address - State:VA
Practice Address - Zip Code:23072-2955
Practice Address - Country:US
Practice Address - Phone:757-897-5501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health