# VITALITY MENTAL HEALTH AND WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093566226
- **Authorized official:** TRACEY RENEE PUCKETT (OWNER)
- **Authorized official phone:** (731) 608-0962

## Contact information

- **Practice address:** 587 E MAIN ST, HENDERSON, TN 38340-2440
- **Practice address phone:** (731) 251-3470
- **Practice address fax:** (731) 201-5250
- **Mailing address:** 1340 DRY CREEK RD, PINSON, TN 38366-1735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2024
- **Last updated:** 09/21/2025