| Vibrant Life Services | |
|
3711 Austin Peay Hwy # 281611 Memphis TN 38128-3768 | |
| (501) 499-2195 | |
| Not Available |
| Full Name | Vibrant Life Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3711 Austin Peay Hwy # 281611, Memphis, Tennessee |
| Authorized Official Name and Position | Eric Harlin (OWNER) |
| Authorized Official Contact | 5014992195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vibrant Life Services 3711 Austin Peay Hwy # 281611 Memphis TN 38128-3768 Ph: () - | Vibrant Life Services 3711 Austin Peay Hwy # 281611 Memphis TN 38128-3768 Ph: (501) 499-2195 |
| NPI Number | 1992434138 |
|---|---|
| Provider Enumeration Date | 06/05/2022 |
| Last Update Date | 07/03/2022 |
| Certification Date | 07/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992434138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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