Vibewell Therapy
Clinic/Center, Adult Mental Health in Cocoa, FL. Organization (NPI-2).
NPI number1043085103
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1043085103
- Entity type
- Organization (NPI-2)
- Legal business name
- Vibewell Therapy
- Organization subpart
- No
- Enumeration date
- Nov 20, 2023
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
126 Highland StCocoa, FL 32922-7523
Phone 786-361-8227
Mailing address
126 Highland StCocoa, FL 32922-7523
Phone 786-361-8227
Authorized official
Michelle Chaffardet
Sole Member
3059705519
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