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Organization
VITALITY FAMILY MENTAL HEALTH, LLC
Active
Organization
VITALITY FAMILY MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT NORMAN BROWN II (PRESIDENT)
(612) 200-0866
Entity
Organization
Contact information
Practice address
4149 LYNDALE AVE N, SUITE 107, MINNEAPOLIS, MN 55412-1703
(612) 200-0866
(612) 520-5662
Mailing address
4149 LYNDALE AVE N, SUITE 107, MINNEAPOLIS, MN 55412-1703
(612) 200-0866
(612) 520-5662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302652
MN
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
302652
MN
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
NULL
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
24498
MN
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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