# VITAL MIND

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

## Provider details

- **NPI number:** 1184587206
- **Authorized official:** EBUNOLUWA LAWAL (OWNER)
- **Authorized official phone:** (703) 980-0467

## Contact information

- **Practice address:** 525 EASTERN AVE STE B3, FAIRMOUNT HEIGHTS, MD 20743-1677
- **Practice address phone:** (571) 418-4211
- **Mailing address:** 525 EASTERN AVE STE B3, FAIRMOUNT HEIGHTS, MD 20743-1677
- **Mailing address phone:** (571) 418-4211

## 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:** 12/05/2025
- **Last updated:** 12/05/2025