Organization
VIBRANT HEALTHY LIVING & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE LEONARD (ADMINISTRATOR)
(281) 898-7300
Entity
Organization
Contact information
Practice address
2600 S LOOP W STE 561, HOUSTON, TX 77054-2653
(281) 898-7300
Mailing address
2600 S LOOP W STE 561, HOUSTON, TX 77054-2653
(281) 898-7300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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