Organization
VIBRANT MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JACKLINE AUKA NP (OWNER)
(206) 438-3878
Entity
Organization
Contact information
Practice address
4213 THEO ST, BIG SPRING, TX 79720-7027
(763) 568-6378
Mailing address
4213 THEO ST, BIG SPRING, TX 79720-7027
(206) 438-3978
(206) 453-6225
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
02/11/2026
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