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Organization

VIVANT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH LEMOINE MSW, APSW (OWNER)
(715) 252-9720
Entity
Organization

Contact information

Practice address
214 W 5TH ST, MARSHFIELD, WI 54449-2718
(715) 869-6095
Mailing address
214 W 5TH ST, MARSHFIELD, WI 54449-2718
(715) 869-6095

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
104100000X
Social Worker
106H00000X
Marriage & Family Therapist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/01/2024
Last updated
08/20/2024
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