VIBRANT MINDS LLC NPI 1073332482

NPI Information

  • NPI: 1073332482
  • Provider Name: VIBRANT MINDS, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 3674 LEDLOW RD
    NEWTON, MS
    ZIP 39345
  • Phone: (601) 357-1821

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NPI Details

VIBRANT MINDS, LLC is a psychiatric/mental health nurse practitioner in Newton, MS. VIBRANT MINDS, LLC NPI is 1073332482. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3674 LEDLOW RD
NEWTON, MS
ZIP 39345-713
Phone: (601) 357-1821
Fax: (601) 207-7707

The provider's authorized official is Danielle Pugh .
The authorized official title is Owner and has the following contact phone number (601) 357-1821.

The enumeration date for this NPI number is 10/3/2024 and was last updated on 10/3/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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