Provider Demographics
NPI:1043030208
Name:VIBERT PSYCHIATRIC SOLUTIONS, LLC
Entity type:Organization
Organization Name:VIBERT PSYCHIATRIC SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:470-516-9950
Mailing Address - Street 1:108 LUCILLE LN
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-4969
Mailing Address - Country:US
Mailing Address - Phone:470-516-9950
Mailing Address - Fax:470-221-1821
Practice Address - Street 1:1080 EAGLES LANDING PKWY
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5012
Practice Address - Country:US
Practice Address - Phone:470-516-9950
Practice Address - Fax:470-221-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty