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Organization
VIVA MIND THERAPY GROUP PLLC
Active
Organization
VIVA MIND THERAPY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA QUILES (OWNER)
(413) 450-1610
Entity
Organization
Contact information
Practice address
65 PRIMROSE ST, INDIAN ORCHARD, MA 01151-2335
(413) 450-1610
Mailing address
65 PRIMROSE ST, INDIAN ORCHARD, MA 01151-2335
(413) 450-1610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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