Healthcare Provider Details

I. General information

NPI: 1891412623
Provider Name (Legal Business Name): VITA COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 JANET RD
HAVERHILL MA
01832-4608
US

IV. Provider business mailing address

4 JANET RD
HAVERHILL MA
01832-4608
US

V. Phone/Fax

Practice location:
  • Phone: 978-914-5921
  • Fax:
Mailing address:
  • Phone: 978-914-5921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MINELYS SANCHEZ
Title or Position: OWNER
Credential:
Phone: 978-914-2361