VITALIA MN NPI 1043007842

NPI Information

  • NPI: 1043007842
  • Provider Name: VITALIA MN
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 7825 WASHINGTON AVE S STE 615B
    MINNEAPOLIS, MN
    ZIP 55439
  • Phone: (612) 226-6210

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NPI Details

VITALIA MN is an adult mental health clinic center in Minneapolis, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. VITALIA MN NPI is 1043007842. The provider is registered as an organization entity type.

The provider's business location address is:

7825 WASHINGTON AVE S STE 615B
MINNEAPOLIS, MN
ZIP 55439-430
Phone: (612) 226-6210

The provider's authorized official is Ayub Faarah .
The authorized official title is Owner and has the following contact phone number (612) 226-6210.

The enumeration date for this NPI number is 4/23/2025 and was last updated on 4/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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