Organization · Type 2 NPI

Vitality Family Mental Health, LLC

Marriage & Family Therapist · Minneapolis, MN

NPI number 1790224939 Active

Practice location

4149 Lyndale Ave N, Suite 107
Minneapolis, MN 55412-1703

Fax (612) 520-5662

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	302652 (MN)
Mental Health Counselor	101YM0800X	None listed
Addiction (Substance Use Disorder) Psychologist	103TA0400X	302652 (MN)
Cognitive & Behavioral Psychologist	103TB0200X	None listed
Counseling Psychologist	103TC1900X	None listed
Clinical Child & Adolescent Psychologist	103TC2200X	None listed
Family Psychologist	103TF0000X	None listed
Group Psychotherapy Psychologist	103TP2701X	None listed
Clinical Social Worker	1041C0700X	24498 (MN)
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1790224939

Vitality Family Mental Health, LLC's National Provider Identifier is 1790224939, issued on Feb 21, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 21, 2017.