Vibrant Life Therapy LLC
Counselor, Professional in Bozeman, MT. Organization (NPI-2).
NPI number1366100711
StatusActive
Last updated in NPPESAug 10, 2022
Details
- NPI
- 1366100711
- Entity type
- Organization (NPI-2)
- Legal business name
- Vibrant Life Therapy LLC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2021
- Certification date
- Aug 10, 2022
- Last updated
- Aug 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
304 Gallatin Park Dr Unit 207Bozeman, MT 59715-7945
Phone 406-600-3300 · Fax 406-404-1041
Mailing address
1807 W Dickerson St Ste DBozeman, MT 59715-1311
Phone 406-600-3300 · Fax 406-551-1055
Authorized official
Rebekah Leigh Driessen Patrick
Owner
4066003300
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