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Organization
VIBRANT LIFE THERAPY LLC
Active
Organization
VIBRANT LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINAH CLARK LCSW (OWNER/MENTAL HEALTH THERAPIST)
(310) 488-8281
Entity
Organization
Contact information
Practice address
2842 SHIRLEY ST, EUGENE, OR 97404-1881
(541) 597-9113
Mailing address
1498 E MAIN ST, STE 103 PMB 277, COTTAGE GROVE, OR 97424
(541) 597-9113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2026
Last updated
09/21/2026
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