Vividly Vitality Mentoring & Counsel, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VIVIDLY VITALITY MENTORING & COUNSEL, LLC

Practice address

920 S Terrace Rd Unit 5035
Tempe, AZ 85281-3805

Phone

(480) 482-8647

Fax

(480) 936-0000

NPI assigned

Dec 1, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Talencia Arlicia Walker, MSWNPI 1205579323

Title

Executive Director

Phone

(480) 484-8647

Specialties & licenses 1

Addresses

Other names 1

• Vividly Vitality Mentoring & Counsel, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Talencia Arlicia Walker

  • Mental Health Counselor
  • Tempe, AZ
  • NPI 1205579323
  NPD Authorized official

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1154089696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S TERRACE RD UNIT 5035",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813805",
            "telephone_number": "480-482-8647",
            "fax_number": "480-936-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S TERRACE RD UNIT 5035",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813805",
            "telephone_number": "480-482-8647",
            "fax_number": "480-936-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIDLY VITALITY MENTORING & COUNSEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TALENCIA",
        "authorized_official_middle_name": "ARLICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-484-8647",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vividly Vitality Mentoring & Counsel, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vital Medical Transportation LLC
• Anna Marie Vitale, R.D.H.
• Vitality Internal Medicine - Tempe LLC
• Katherine Vitch, PMHNP
• Angela Carmen Viteri
• Lam Vo, DO.MPH.MSCI
• Wesley Vo
• Lillianne Vogt, NMD
• Natasa Vojvodic, D.O.
• Volunteers of America Care Facilities

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.