VIVIDLY VITALITY MENTORING & COUNSEL LLC NPI 1154089696

NPI Information

NPI: 1154089696
Provider Name: VIVIDLY VITALITY MENTORING & COUNSEL, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
920 S TERRACE RD UNIT 5035
TEMPE, AZ
ZIP 85281
Phone: (480) 482-8647
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VIVIDLY VITALITY MENTORING & COUNSEL, LLC is a mental health counselor in Tempe, AZ. VIVIDLY VITALITY MENTORING & COUNSEL, LLC NPI is 1154089696. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

920 S TERRACE RD UNIT 5035
TEMPE, AZ
ZIP 85281-805
Phone: (480) 482-8647
Fax: (480) 936-0000

The provider's authorized official is Talencia Arlicia Walker .
The authorized official title is Executive Director and has the following contact phone number (480) 484-8647.

The enumeration date for this NPI number is 12/1/2021 and was last updated on 12/1/2021.

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	101YM0800X	Counselor	Mental Health			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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