Vibrant Life Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VIBRANT LIFE THERAPY LLC

Practice address

2842 Shirley St
Eugene, OR 97404-1881

Phone

(541) 597-9113

NPI assigned

Sep 21, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Minah Clark, LCSW

Title

Owner/Mental Health Therapist

Phone

(310) 488-8281

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1043122567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 E MAIN ST",
            "address_2": "STE 103 PMB 277",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "97424",
            "telephone_number": "541-597-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 SHIRLEY ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041881",
            "telephone_number": "541-597-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT LIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MINAH",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "310-488-8281",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Vermilye, LMT
• Joshua Vernon
• Jessica Leigh Versage, M.D.
• Amber M Vester, DO
• Vibrant Hues Therapy and Consultation LLC
• Brett Anthony Vicario, PH. D.
• Victor B Richenstein MD PC
• Dennis J. Viene, PHD
• Sean Manley Vierra, LMT, ACMT
• Linda Vik, CADC I

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.