VITALITY COMMUNITY CARE CENTER NPI 1699516401

NPI Information

  • NPI: 1699516401
  • Provider Name: VITALITY COMMUNITY CARE CENTER
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 2686 CROSSROADS PLAZA DR
    COLUMBUS, OH
    ZIP 43219
  • Phone: (614) 664-3331

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NPI Details

VITALITY COMMUNITY CARE CENTER is an addiction medicine psychiatry neurology in Columbus, OH. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine VITALITY COMMUNITY CARE CENTER NPI is 1699516401. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2686 CROSSROADS PLAZA DR
COLUMBUS, OH
ZIP 43219-442
Phone: (614) 664-3331

The provider's authorized official is Latonya Carroll .
The authorized official title is President and has the following contact phone number (614) 644-3331.

The enumeration date for this NPI number is 6/5/2024 and was last updated on 6/5/2024.

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
12084A0401XPsychiatry & NeurologyAddiction MedicineYes
22084P0800XPsychiatry & NeurologyPsychiatryNo

What is NPI?

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This page was last updated on: 3/30/2025

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