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Organization
VIBRANT MENTAL WELLNESS LLC
Active
Organization
VIBRANT MENTAL WELLNESS LLC
Active
Parent organization
VIBRANT MENTAL WELLNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIBRANT MENTAL WELLNESS LLC
Authorized official
JACKLINE AUKA (OWNER)
(432) 267-8216
Entity
Organization
Contact information
Practice address
702 HOUSTON ST, FORT WORTH, TX 76102-5004
(763) 568-6378
Mailing address
702 HOUSTON ST, FORT WORTH, TX 76102-5004
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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