Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Health & Wellness Coach |
171400000X | |||
Professional |
101YP2500X | |||
Recreation Therapist |
225800000X | |||
Recreational Therapist Assistant |
226000000X |
| NPI Number | 1992473425 |
| LBN Legal business name | VIBRANT SOUL COUNSELING & CONSULTING PLLC |
| Authorized official | ANGELA TAYLOR - (OWNER, LEAD CLINICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/31/2021 |
| Last updated | 08/31/2021 - About 5 years ago |
| Identifiers | n/a |
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