VIVID MIND BEHAVIORAL HEALTH LLC NPI 1457003006

NPI Information

NPI: 1457003006
Provider Name: VIVID MIND BEHAVIORAL HEALTH LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
228 LERAS WAY
SOMERSET, KY
ZIP 42501
Phone: (502) 694-2251
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VIVID MIND BEHAVIORAL HEALTH LLC is a professional counselor in Somerset, KY. VIVID MIND BEHAVIORAL HEALTH LLC NPI is 1457003006. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

228 LERAS WAY
SOMERSET, KY
ZIP 42501-919
Phone: (502) 694-2251

The provider's authorized official is Tammy Wright .
The authorized official title is Owner and has the following contact phone number (502) 694-2251.

The enumeration date for this NPI number is 1/25/2022 and was last updated on 2/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical			No
2	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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