Organization
VIBRANT LIFE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENA PERKINS JOHNSON LCMCHA (OWNER)
(336) 301-3426
Entity
Organization
Contact information
Practice address
1101 W MARKET ST, GREENSBORO, NC 27403-1829
(336) 270-9501
Mailing address
6030 FORDING CREEK LN, KERNERSVILLE, NC 27284-6347
(336) 301-3426
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
04/16/2021
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