Organization
MY VIBES LLC
Active
Organization
MY VIBES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MALISH LCSW (CEO)
(830) 708-0767
Entity
Organization
Contact information
Practice address
27158 TRITON DRIVE, SPRING BRANCH, TX 78070
(830) 708-0767
Mailing address
110 CLEAR POND CRT, SPRING BRANCH, TX 78070
(830) 708-0767
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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