# VIBRANT MENTAL WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIBRANT MENTAL WELLNESS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861257776
- **Legal business name:** VIBRANT MENTAL WELLNESS LLC
- **Authorized official:** JACKLINE AUKA (OWNER)
- **Authorized official phone:** (432) 267-8216

## Contact information

- **Practice address:** 702 HOUSTON ST, FORT WORTH, TX 76102-5004
- **Practice address phone:** (763) 568-6378
- **Mailing address:** 702 HOUSTON ST, FORT WORTH, TX 76102-5004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2024
- **Last updated:** 02/20/2024