Organization
VIVID LIVING THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LADAWNYA HOOKS GONZALEZ LCSW (OWNER)
(512) 781-1172
Entity
Organization
Contact information
Practice address
12600 HILL COUNTRY BLVD STE R-275, BEE CAVE, TX 78738-6768
(512) 781-1172
Mailing address
12600 HILL COUNTRY BLVD STE R-275, BEE CAVE, TX 78738-6768
(512) 781-1172
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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