Provider Demographics
NPI:1356932644
Name:VIVA WELL COUNSELING PLLC
Entity type:Organization
Organization Name:VIVA WELL COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:832-236-0467
Mailing Address - Street 1:10900 RESEARCH BLVD STE 160C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5718
Mailing Address - Country:US
Mailing Address - Phone:832-236-0467
Mailing Address - Fax:
Practice Address - Street 1:8500 SHOAL CREEK BLVD STE 4-225
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-6856
Practice Address - Country:US
Practice Address - Phone:832-236-0467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty