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Organization
VITALIZING CARE CONSULTANTS LLC
Active
Organization
VITALIZING CARE CONSULTANTS LLC
Active
Other names
Vitalizing Care Consultants, VCC Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHOMARI MCCOY MBA (CHIEF EXECUTIVE OFFICER)
(855) 455-2274
Entity
Organization
Contact information
Practice address
1420 WASHINGTON BLVD STE 301, DETROIT, MI 48226
(855) 455-2274
(586) 314-0167
Mailing address
PO BOX 180266, UTICA, MI 48318-0266
(855) 455-2274
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
163WC0400X
Case Management Registered Nurse
—
NULL
163WC0400X
Case Management Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/21/2017
Last updated
01/12/2022
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