| Vivid Living Therapy, Pllc | |
|
12600 Hill Country Blvd Ste R-275 Bee Cave TX 78738-6768 | |
| (512) 781-1172 | |
| Not Available |
| Full Name | Vivid Living Therapy, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12600 Hill Country Blvd Ste R-275, Bee Cave, Texas |
| Authorized Official Name and Position | Ladawnya Hooks Gonzalez (OWNER) |
| Authorized Official Contact | 5127811172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivid Living Therapy, Pllc 12600 Hill Country Blvd Ste R-275 Bee Cave TX 78738-6768 Ph: (512) 781-1172 | Vivid Living Therapy, Pllc 12600 Hill Country Blvd Ste R-275 Bee Cave TX 78738-6768 Ph: (512) 781-1172 |
| NPI Number | 1902565872 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902565872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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