Healthcare Provider Details

I. General information

NPI: 1003514035
Provider Name (Legal Business Name): GOOD VIBES CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2219 YORK RD SUITE 400
TIMONIUM MD
21093
US

IV. Provider business mailing address

8920 AVENUE B
BALTIMORE MD
21219-2410
US

V. Phone/Fax

Practice location:
  • Phone: 443-971-3220
  • Fax: 443-320-9252
Mailing address:
  • Phone: 443-904-6399
  • Fax:

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: VERONICA GARCIA
Title or Position: PRESIDENT
Credential: CRNP-PMH
Phone: 443-904-6399