Organization
VITALITY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH E BERGMAN LPCC (OWNER)
(419) 461-1983
Entity
Organization
Contact information
Practice address
3305 W BANCROFT ST, OTTAWA HILLS, OH 43606-2601
(419) 461-1983
Mailing address
3305 W BANCROFT ST, OTTAWA HILLS, OH 43606-2601
(419) 461-1983
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266112
—
OH
05
—
1659879849
—
OH
Enumeration date
10/18/2022
Last updated
10/18/2022
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