Provider Demographics
NPI:1235972654
Name:VITAL ESSENCE COUNSELING
Entity type:Organization
Organization Name:VITAL ESSENCE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:YEAGER
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:786-280-7818
Mailing Address - Street 1:665 BIG BEND TRL
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-8193
Mailing Address - Country:US
Mailing Address - Phone:678-280-7818
Mailing Address - Fax:678-729-9419
Practice Address - Street 1:665 BIG BEND TRL
Practice Address - Street 2:
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-8193
Practice Address - Country:US
Practice Address - Phone:678-280-7818
Practice Address - Fax:678-729-9419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty