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Organization
VIBRANT MINDS, LLC
Active
Organization
VIBRANT MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE PUGH PMHNP (OWNER)
(601) 357-1821
Entity
Organization
Contact information
Practice address
3674 LEDLOW RD, NEWTON, MS 39345-8713
(601) 357-1821
(601) 207-7707
Mailing address
PO BOX 11, DECATUR, MS 39327-0011
(601) 357-1821
(601) 207-7707
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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