Vivid Living Therapy, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VIVID LIVING THERAPY, PLLC

Practice address

12600 Hill Country Blvd Ste R-275
Bee Cave, TX 78738-6768

Phone

(512) 781-1172

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Ladawnya Hooks Gonzalez, LCSWNPI 1588227433

Title

Owner

Phone

(512) 781-1172

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.

• Ladawnya Gonzalez, LMSW

  • Social Worker
  • Austin, TX
  • NPI 1588227433
  NPD Authorized official

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1902565872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 HILL COUNTRY BLVD STE R-275",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386768",
            "telephone_number": "512-781-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 HILL COUNTRY BLVD STE R-275",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386768",
            "telephone_number": "512-781-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID LIVING THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LADAWNYA",
        "authorized_official_middle_name": "HOOKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-781-1172",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Bee Cave, TX
• Providers in Bee Cave, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.