VITALITY FAMILY MENTAL HEALTH, LLC


Address: 4149 Lyndale Ave N, Suite 107, Minneapolis, MN 55412-1703
Phone: 6122000866

VITALITY FAMILY MENTAL HEALTH, LLC (NPI# 1790224939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790224939
Entity Type Organization
Organization Name VITALITY FAMILY MENTAL HEALTH, LLC
Practice Address 4149 Lyndale Ave N
Suite 107
Minneapolis
MN 55412-1703
Practice Telephone 6122000866
Practice Fax Number 6125205662
Mailing Telephone 6122000866
Mailing Fax Number 6125205662
Enumeration Date 2017-02-21
Last Update Date 2017-02-21
Authorized Official Name DR. ALBERT NORMAN BROWN II (PRESIDENT)
Authorized Official Telephone 6122000866
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
302652 MN Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
302652 MN Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
24498 MN Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104369016 Vitality Family Mental Health, LLC Health Maintenance Organization 4149 Lyndale Ave N, Minneapolis, MN 55412-1703 2016-11-24

Office Location

Street Address 4149 LYNDALE AVE N
SUITE 107
City MINNEAPOLIS
State MN
Zip Code 55412-1703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891979555 Lowry Family Chiropractic Clinic, Pa Chiropractor 4149 Lyndale Ave N, Suite 200, Minneapolis, MN 55412-1703 2007-12-18
1104369016 Vitality Family Mental Health, LLC Health Maintenance Organization 4149 Lyndale Ave N, Minneapolis, MN 55412-1703 2016-11-24
1144538471 Camden Health Services LLC Home Health 4149 Lyndale Ave N, 209, Minneapolis, MN 55412-1703 2010-09-21
1194951178 Albert Brown II Counselor 4149 Lyndale Ave N, Suite 107, Minneapolis, MN 55412-1703 2009-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033778121 Grace Group Home LLC Home Delivered Meals 3538 Fremont Ave N, Minneapolis, MN 55412 2019-06-11
1346708138 Steven Keith Bell Chiropractor 3232 Fremont Ave. No, Suite 314, Mpls., MN 55412 2019-03-11
1962998997 Steven Wolinski Psychologist 3830 Washburn Ave N, Minneapolis, MN 55412 2018-07-02
1235676438 The Helping Hands Mn L.L.C. Home Health 860 Blue Gentain Rd, 200, Eagen, MN 55412 2017-01-25
1982070454 Sylvia Majors Driver 3443 Colfax Ave North, Minneapolis, MN 55412 2015-08-19
1962746859 Maureen Ellis Social Worker 4151 Thomas Ave N, Minneapolis, MN 55412 2012-11-16
1770832552 Mastery School Inc. Local Education Agency (LEA) 4021 Thomas Ave N, Minneapolis, MN 55412 2012-09-07
1902171416 David Anthony Wicklund Massage Therapist 2206 44th Ave N, Minneapolis, MN 55412 2012-03-16
1376739656 Gloria Dean Scales Peterson Social Worker 3333 North 4th Street, Minneapolis, MN 55412 2007-09-19
1922173798 Rodney Allen Lenz Dentist 4207 Aldrich Avenue North, Minneapolis, MN 55412 2006-11-21
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851904536 Eric Anfinson Marriage & Family Therapist 2835 Emerson Ave S # Cn316, Minneapolis, MN 55408-1388 2020-08-24
1649806118 Jessica Diane Finney Marriage & Family Therapist 314 Clifton Ave Ste 301, Minneapolis, MN 55403-3235 2020-03-17
1912545146 Andrea Queen Langford Marriage & Family Therapist 1201 W Broadway Ave, Minneapolis, MN 55411-2532 2019-12-18
1780229567 Melanie Faulhaber Marriage & Family Therapist 5645 13th Ave S, Minneapolis, MN 55417-2526 2019-11-15
1144877143 Transcend Psychotherapy, Pllc Marriage & Family Therapist 1900 Hennepin Ave Ste 201205, Minneapolis, MN 55403-3160 2019-08-23
1336795301 Kazoua Vang Marriage & Family Therapist 2021 E Hennepin Ave Ste 475, Minneapolis, MN 55413-1870 2019-08-14
1013569649 Kellie Lynn Kamm Marriage & Family Therapist 525 Portland Avenue, Mc 963, Minneapolis, MN 55415-1533 2019-07-13
1811557184 Christina Maria Jobelius Marriage & Family Therapist 3012 W 44th St, Minneapolis, MN 55410-1553 2019-06-18
1932769403 Sarita M Tabor Marriage & Family Therapist 3801 W 50th St Ste 250b, Minneapolis, MN 55410-2047 2019-06-17
1265992994 Apollo Counseling Inc. Marriage & Family Therapist 6909 Mccauley Trl S, Minneapolis, MN 55439-1068 2019-03-20
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55412

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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