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).
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 |
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 |
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 |
Street Address |
4149 LYNDALE AVE N SUITE 107 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55412-1703 |
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 |
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 |
Find all providers in zip 55412 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
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. |
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 |
City | MINNEAPOLIS |
Zip Code | 55412 |
Please comment or provide details below to improve the information on VITALITY FAMILY MENTAL HEALTH, LLC.
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.