| Vivid Counseling, Llc | |
|
6101 Delmar Blvd Ste A Saint Louis MO 63112-1203 | |
| (314) 730-0111 | |
| Not Available |
| Full Name | Vivid Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6101 Delmar Blvd Ste A, Saint Louis, Missouri |
| Authorized Official Name and Position | Yvette Hamilton-hawkins (OWNER) |
| Authorized Official Contact | 3147300111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivid Counseling, Llc 6101 Delmar Blvd Ste A Saint Louis MO 63112-1203 Ph: (314) 730-0111 | Vivid Counseling, Llc 6101 Delmar Blvd Ste A Saint Louis MO 63112-1203 Ph: (314) 730-0111 |
| NPI Number | 1033602974 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033602974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2012037388 (Missouri) | Primary |
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