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VITALITY FAMILY MENTAL HEALTH LLC NPI 1790224939


NPI Information

NPI: 1790224939
Provider Name: VITALITY FAMILY MENTAL HEALTH, LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
4149 LYNDALE AVE N
SUITE 107
MINNEAPOLIS, MN
ZIP 55412
Phone: (612) 200-0866
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VITALITY FAMILY MENTAL HEALTH, LLC is a marriage family therapist in Minneapolis, MN. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. VITALITY FAMILY MENTAL HEALTH, LLC NPI is 1790224939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4149 LYNDALE AVE N
SUITE 107
MINNEAPOLIS, MN
ZIP 55412-703
Phone: (612) 200-0866
Fax: (612) 520-5662

The provider's authorized official is Albert Norman Brown .
The authorized official title is President and has the following contact phone number (612) 200-0866.

The enumeration date for this NPI number is 2/21/2017 and was last updated on 2/21/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)302652MINNESOTANo
2101YM0800XCounselorMental HealthNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)302652MINNESOTANo
4103TB0200XPsychologistCognitive & BehavioralNo
5103TC1900XPsychologistCounselingNo
6103TC2200XPsychologistClinical Child & AdolescentNo
7103TF0000XPsychologistFamilyNo
8103TP2701XPsychologistGroup PsychotherapyNo
91041C0700XSocial WorkerClinical24498MINNESOTANo
10106H00000XMarriage & Family TherapistYes

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: 4/28/2024

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