INNER VIBRANCE, LLC (NPI# 1497218101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497218101 |
| Entity Type | Organization |
| Organization Name | INNER VIBRANCE, LLC |
| Practice Address |
360 Bloomfield Ave Ste 301 Windsor CT 06095-2700 |
| Practice Telephone | 8602817687 |
| Practice Fax Number | 8609101411 |
| Mailing Telephone | 8602817687 |
| Mailing Fax Number | 8609101411 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | KAITLIN SCHMIDT (OWNER) |
| Authorized Official Telephone | 8602817687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Inner Vibrance, LLC | 925 Sullivan Ave., Ste 2, South Windsor, CT 06074 |
| Street Address |
360 BLOOMFIELD AVE STE 301 |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043533557 | Joyce A Erickson | Counselor | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2010-03-11 |
| 1306446190 | Norma Joy B-mullings | Counselor | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2020-10-29 |
| 1437759420 | Charlotte Zocco | Behavior Technician | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2020-10-28 |
| 1326646316 | Julia Danielle Frey | Behavior Technician | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2020-10-13 |
| 1659987345 | Lauren Oates | Behavior Technician | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2020-09-18 |
| 1568076131 | Jolyn Wayne | Behavior Technician | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2020-09-01 |
| 1821600669 | Olivia Motherway | Behavior Technician | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2020-08-22 |
| 1396357331 | Radiant Life Psychotherapy LLC | Counselor | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2020-08-20 |
| 1942812839 | Sharon Rosemarie Clato-day | Social Worker | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2020-08-20 |
| 1144839721 | Grace Ege | Behavior Technician | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| Find all providers in zip 06095 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699250928 | Seasons Christian Counseling, LLC | Clinic/Center | 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 | 2018-10-02 |
| 1043707722 | North Range Behavioral Health | Clinic/Center | 1170 W Ash St Ste 100, Windsor, CO 80550 | 2018-04-18 |
| 1811163504 | Continuity of Care Behavioral Health Services, Pllc | Clinic/Center | 101 Sutton Dr, Windsor, NC 27983-1823 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867823 | Marianne Cardillo LLC | Clinic/Center | 72 Cedar Heights Rd, Stamford, CT 06905-1105 | 2020-10-08 |
| 1770180770 | Thriving Minds Connecticut, LLC | Clinic/Center | 39 Leonard Rd, Middlebury, CT 06762-3602 | 2020-10-03 |
| 1093326464 | Hope Haven, LLC | Clinic/Center | 543 Kanuga Trl, Orange, CT 06477-2659 | 2020-08-11 |
| 1760093108 | Intuitive Healing Counseling LLC | Clinic/Center | 95 Armory Rd Ste 2, Stratford, CT 06614-1753 | 2020-08-10 |
| 1750992244 | Connecting The Pieces, LLC | Clinic/Center | 151 New Park Ave Unit 27, Hartford, CT 06106-2181 | 2020-08-10 |
| 1063021228 | Clear Sky Therapy Services | Clinic/Center | 68 Lyman Rd, West Hartford, CT 06117-1311 | 2020-07-23 |
| 1104453562 | Empower Therapy & Wellness LLC | Clinic/Center | 786 Boston Post Rd # 203, Madison, CT 06443-3036 | 2020-03-25 |
| 1386279453 | Pathways To Wellness, LLC | Clinic/Center | 74 Sheldon Ter, New Haven, CT 06511-2006 | 2020-03-09 |
| 1053945196 | Farley Counseling Services | Clinic/Center | 29b Hartford Ave, Granby, CT 06035-2326 | 2020-02-27 |
| 1922630557 | Starfish Family Connections, LLC | Clinic/Center | 1367 Hanover Ave Apt 602, Meriden, CT 06451-6278 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INNER VIBRANCE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.