MEDICARE: GOOD VIBES THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1437015591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD VIBES THERAPY PLLC

Provider Business Mailing Address
First Line	:	4119 MONTROSE BLVD STE 460
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4966
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4119 MONTROSE BLVD STE 460
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4966
Country	:	US
Telephone Number	:	713-510-3507
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	RYAN PESCAIA
Credential	:	LPC
Telephone Number	:	713-510-3507

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/01/2026

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