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EVIBRANT MENTAL WELLNESS
NPI 1093598302
Nurse Practitioner - Psychiatric/Mental Health in Longview, TX

Active since August 18, 2023
3122 NEALY WAY STE 201, LONGVIEW, TX 75605(903) 833-9875 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evibrant Mental Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVIBRANT MENTAL WELLNESS (NPI 1093598302) is a healthcare organization registered as a psychiatric/mental health in Longview, Texas and active in the NPI registry since August 2023. The organization lists Keisha Marsolan, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1093598302
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVIBRANT MENTAL WELLNESS
Location Address3122 NEALY WAY STE 201Longview, TX 75605-1092
Mailing Address1704 Northwood CtLongview, TX 75605-2304
Phone(903) 833-9875
Organization SubpartNo
Authorized OfficialKeisha MarsolanOwner/ceo · (903) 452-0680
Enumeration DateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
✔ NPI 1093598302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3122 NEALY WAY STE 201, Longview, TX 75605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLEM H. FAHRENBRUCK, LPC, PLLC
Counselor (Professional)
3122 NEALY WAY STE 201
LONGVIEW, TX 75605
Gregg County (903) 452-8040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evibrant Mental Wellness's NPI number?

The NPI number for Evibrant Mental Wellness is 1093598302. It was assigned to this organization in the NPPES registry on August 18, 2023.

Where is Evibrant Mental Wellness located?

Evibrant Mental Wellness is located at 3122 Nealy Way Ste 201, Longview, TX 75605. The listed phone number is (903) 833-9875.

What is Evibrant Mental Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Evibrant Mental Wellness was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.