Vibrant Minds, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VIBRANT MINDS, LLC

Practice address

3674 Ledlow Rd
Newton, MS 39345-8713

Phone

(601) 357-1821

Fax

(601) 207-7707

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Pugh, PMHNPNPI 1639718455

Title

Owner

Phone

(601) 357-1821

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Pugh

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, MS
  • NPI 1639718455
  NPD Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1073332482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "DECATUR",
            "state": "MS",
            "postal_code": "393270011",
            "telephone_number": "601-357-1821",
            "fax_number": "601-207-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3674 LEDLOW RD",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393458713",
            "telephone_number": "601-357-1821",
            "fax_number": "601-207-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-357-1821",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Sitters
• Southerncare Inc (SouthernCare Newton)
• Southerncare, Inc. (Gentiva)
• Lorie Sullivan
• Keiara Townsend
• Melodie Carol Vick, FNP-C
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1069)
• Kristen Massey Walters, D.M.D.
• Regnaldo Washington
• Delores V Williams, FNP

• Psychiatric/Mental Health Nurse Practitioner in Newton, MS
• Providers in Newton, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.