OrganizationActive
Vividly Vitality Mentoring & Counsel, LLC
NPI 1154089696 · Mental Health Counselor · Tempe, AZ
Provider details
- NPI number
- 1154089696
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Talencia Walker, Executive Director(480) 484-8647
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
920 S Terrace Rd Unit 5035
Tempe, AZ 85281-3805
Phone: (480) 482-8647
Fax: (480) 936-0000
Street-level locationGet directions
Mailing address
920 S Terrace Rd Unit 5035
Tempe, AZ 85281-3805
Other names (DBA / former)
- Former legal business name
- Vividly Vitality Mentoring & Counsel, LLC
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2021-12-01
- Certified
- 2021-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.