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Organization

VITAL MENTAL HEALTH SPECIALISTS LLC

Active
Other names
VITAL MENTAL HEALTH SPECIALISTS, Vital Healthcare Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
THEOPHILUS MBI AKOH NP (MEMBER)
(775) 335-7450
Entity
Organization

Contact information

Practice address
1821 UNIVERSITY AVE W STE 298, SAINT PAUL, MN 55104-2875
(651) 756-8183
(651) 756-8336
Mailing address
1821 UNIVERSITY AVE W STE 298, SAINT PAUL, MN 55104-2875
(651) 756-8183
(651) 756-8336

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/16/2020
Last updated
08/31/2021
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