Vibrant Life Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VIBRANT LIFE SERVICES

Practice address

3711 Austin Peay Hwy # 281611
Memphis, TN 38128-3768

Phone

(501) 499-2195

NPI assigned

Jun 5, 2022

Organization subpart

No

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

Authorized official

Name

Eric Harlin, LCSWNPI 1811235575

Title

Owner

Phone

(501) 499-2195

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eric Micheal Harlin, LCSW

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1811235575
  NPD Authorized official

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656806400000",
    "number": "1992434138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 AUSTIN PEAY HWY # 281611",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 AUSTIN PEAY HWY # 281611",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283768",
            "telephone_number": "501-499-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A",
        "authorized_official_last_name": "HARLIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-499-2195",
        "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": []
}

• Rachel Wheeler Veteto, LPC-MHSP
• Vetrans Administration
• Via Institutes PLLC
• Vibrant ABA TN LLC
• Vibrant Health Choice, PLLC
• Paige Vicenzi, DO
• Scott Thomas Vicenzi, DO
• Malasy Vichathep, CRNA
• Thomas A Vickers, CRNA
• Vickie Renea Brewer

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; 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.