Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vivid Wellness

Organization Addiction (Substance Use Disorder) Counselor · NPI 1063272391

Vivid Wellness is an Addiction (Substance Use Disorder) Counselor in Montvale, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
11

Practice location Address checks out

415 Laurel Brook Rd
Montvale, NJ 07645-1746
Phone: (551) 497-1964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Psychiatry Physician Taxonomy 2084P0800X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1063272391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Maggio — Owner · (551) 497-1964
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address415 Laurel Brook Rd, Montvale, NJ 07645-1746

Other providers in Montvale