# VITALITY MENTAL HEALTH, PLLC

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

## Provider details

- **NPI number:** 1578168993
- **Authorized official:** MONIQUE ALEXANDRA PEDERSON (OWNER/LPCC)
- **Authorized official phone:** (701) 712-3290

## Contact information

- **Practice address:** 919 S 7TH ST STE 303, BISMARCK, ND 58504-5835
- **Practice address phone:** (701) 712-3290
- **Mailing address:** 919 S 7TH ST STE 303, BISMARCK, ND 58504-5835
- **Mailing address phone:** (701) 712-3290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 09/06/2023