Organization
VIVID MIND BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WRIGHT (OWNER)
(502) 694-2251
Entity
Organization
Contact information
Practice address
228 LERAS WAY, SOMERSET, KY 42501-4919
(502) 694-2251
Mailing address
228 LERAS WAY, SOMERSET, KY 42501-4919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/25/2022
Last updated
02/28/2022
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