Organization
VIBRANT LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA BROWN MA, LMFT (OWNER/THERAPIST)
(651) 208-9409
Entity
Organization
Contact information
Practice address
2608 BLAISDELL AVE, MINNEAPOLIS, MN 55408-5107
(651) 208-9409
Mailing address
1189 BRIGHTON PL, SAINT PAUL, MN 55106-1107
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/21/2020
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