| Vibrant Life Therapy LLC | |
|
2842 Shirley St Eugene OR 97404-1881 | |
| (541) 597-9113 | |
| Not Available |
| Full Name | Vibrant Life Therapy LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2842 Shirley St, Eugene, Oregon |
| Authorized Official Name and Position | Minah Clark (OWNER/MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 3104888281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Life Therapy LLC 1498 E Main St Ste 103 Pmb 277 Cottage Grove OR 97424 Ph: (541) 597-9113 | Vibrant Life Therapy LLC 2842 Shirley St Eugene OR 97404-1881 Ph: (541) 597-9113 |
| NPI Number | 1043122567 |
|---|---|
| Provider Enumeration Date | 09/21/2026 |
| Last Update Date | 09/21/2026 |
| Certification Date | 09/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043122567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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