NPI | 1366026395 |
---|---|
Former Legal Business Name | ALICIA KIMBALL LCSW GLCMA LLC |
Doing Business As | GOOD VIBES THERAPY AND WELLNESS |
Entity Type | Organization |
Authorized Contact | ALICIA KIMBALL CEO 847-220-7603 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker |
Enumeration Date | 2021-05-06 |
Last Update Date | 2023-05-05 |