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
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
302652
MN
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
24498
MN
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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