Vivid Psychiatry LLC
NPI #1336613553 in Maple Valley, Washington
Provider Information
- NPI Number
- 1336613553
- Entity Type
- Organization
- Organization Name
- Vivid Psychiatry LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jan 22, 2019
- Last Updated
- Jan 22, 2019
Practice Location
- Address
- 22443 SE 240TH ST STE 202
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038-5879
- Phone
- (937) 479-3406
Authorized Official
- Name
- ASHLEY MCGINNIS, ARNP
- Title
- OWNER
- Phone
- (937) 479-3406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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