# VIBRANT MINDS AND WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083478721
- **Authorized official:** CARMEN GUY (OWNER/APRN)
- **Authorized official phone:** (781) 314-0002

## Contact information

- **Practice address:** 29 ALBION ST STE B4, WAKEFIELD, MA 01880-2801
- **Practice address phone:** (781) 314-0002
- **Mailing address:** 29 ALBION ST STE B4, WAKEFIELD, MA 01880-2801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2024
- **Last updated:** 02/13/2024