| Vibrant Life Therapy Llc | |
|
2608 Blaisdell Ave Minneapolis MN 55408-5107 | |
| (651) 208-9409 | |
| Not Available |
| Full Name | Vibrant Life Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2608 Blaisdell Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Tanya Brown (OWNER/THERAPIST) |
| Authorized Official Contact | 6512089409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Life Therapy Llc 1189 Brighton Pl Saint Paul MN 55106-1107 Ph: () - | Vibrant Life Therapy Llc 2608 Blaisdell Ave Minneapolis MN 55408-5107 Ph: (651) 208-9409 |
| NPI Number | 1417543877 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/21/2020 |
| Medicare PECOS PAC ID | 3274998596 |
|---|---|
| Medicare Enrollment ID | O20230420000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417543877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Gao Chee Vang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992303655 PECOS PAC ID: 0446638787 Enrollment ID: I20220527001546 |
| Provider Name | Tanya Brown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710549290 PECOS PAC ID: 0446615769 Enrollment ID: I20250124002938 |
Futurebrain Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 W Lake Nokomis Pkwy, Minneapolis, MN 55417 Phone: 612-378-2363 Fax: 612-378-2363 | |
Phoenix Adolescent Outpatient Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 13th Ave Se, Minneapolis, MN 55414 Phone: 651-734-3268 Fax: 612-378-4886 | |
1-0 Granny's Helpful Hands, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Lake St, Minneapolis, MN 55407 Phone: 612-824-1177 | |
Community Empowerment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Washington Ave N, Minneapolis, MN 55401 Phone: 202-450-0351 | |
Kori Hennessy, Ma, Lmft Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 E 43rd St Ste 201, Minneapolis, MN 55409 Phone: 763-342-0104 | |
Uptown Center For Psychotherapy Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3253 Humboldt Ave S, Minneapolis, MN 55408 Phone: 920-277-7923 | |
Hennepin County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Chicago Ave Ste 100, Minneapolis, MN 55404 Phone: 612-879-3115 |