Organization
VANTIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARAS PANCHOLI (MANAGING PARTNER)
(617) 686-6251
Entity
Organization
Contact information
Practice address
320 E BIG BEAVER RD STE 185, TROY, MI 48083-1238
(248) 294-0539
(248) 934-1390
Mailing address
320 E BIG BEAVER RD STE 185, TROY, MI 48083-1238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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