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Organization
VIVERANT INTEGRATIVE CLINIC LLC
Active
Organization
VIVERANT INTEGRATIVE CLINIC LLC
Active
Other names
Viverant Integrative Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JO LEIGH HOLLAND (OWNER)
(812) 255-1699
Entity
Organization
Contact information
Practice address
335 SPRING ST STE B, JEFFERSONVILLE, IN 47130-4480
(812) 255-1699
Mailing address
300 SPRING ST STE 3B, JEFFERSONVILLE, IN 47130-3498
(812) 255-1699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
08/18/2020
Last updated
04/05/2024
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