Provider Demographics
NPI:1265232946
Name:VIVEYO CO.
Entity type:Organization
Organization Name:VIVEYO CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-417-0911
Mailing Address - Street 1:20308 150TH ST E
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-9700
Mailing Address - Country:US
Mailing Address - Phone:405-229-2630
Mailing Address - Fax:
Practice Address - Street 1:20308 150TH ST E
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-9700
Practice Address - Country:US
Practice Address - Phone:253-417-0911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty