Organization
VIVIFY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA GORDON (OWNER)
(804) 599-6709
Entity
Organization
Contact information
Practice address
6501 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-3698
(757) 337-1125
Mailing address
10041 POLLEN DR, MECHANICSVILLE, VA 23116-0034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
02/05/2026
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