Healthcare Provider Details

I. General information

NPI: 1972001402
Provider Name (Legal Business Name): VIGORITO COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2018
Last Update Date: 01/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CONNECTICUT AVE NW STE 134
WASHINGTON DC
20008-2533
US

IV. Provider business mailing address

3000 CONNECTICUT AVE NW STE 134
WASHINGTON DC
20008-2533
US

V. Phone/Fax

Practice location:
  • Phone: 202-417-7171
  • Fax: 877-238-3317
Mailing address:
  • Phone: 202-417-7171
  • Fax: 877-238-3317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL ANTHONY VIGORITO
Title or Position: OWNER
Credential: MFT
Phone: 202-417-7171