Vivid Mind Behavioral Health LLC

NPI #1457003006 in Somerset, Kentucky

Provider Information

NPI Number: 1457003006
Entity Type: Organization
Organization Name: Vivid Mind Behavioral Health LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jan 25, 2022
Last Updated: Feb 28, 2022

Practice Location

Address: 228 LERAS WAY
City: Somerset
State: Kentucky
ZIP Code: 42501-4919
Phone: (502) 694-2251

Authorized Official

Name: TAMMY WRIGHT
Title: OWNER
Phone: (502) 694-2251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor - Professional — Professional	101YP2500X	Primary

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