Organization
VIBRANT SOUL LLC
Active
Organization
VIBRANT SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA LEE COSME MS, LMFT (OWNER)
(860) 994-8556
Entity
Organization
Contact information
Practice address
6 WAY RD STE 217, MIDDLEFIELD, CT 06455-1080
(860) 994-8556
Mailing address
6 WAY RD STE 217, MIDDLEFIELD, CT 06455-1080
(860) 994-8556
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/28/2023
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