Healthcare Provider Details

I. General information

NPI: 1609657253
Provider Name (Legal Business Name): CAYTE VIGILANTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 OAKWOOD RD STE 300
CHARLESTON WV
25314-2071
US

IV. Provider business mailing address

PO BOX 566
EAST BANK WV
25067-0566
US

V. Phone/Fax

Practice location:
  • Phone: 681-265-0999
  • Fax:
Mailing address:
  • Phone: 304-549-9357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: