| Vitality Mental Health, Pllc | |
|
919 S 7th St Ste 303 Bismarck ND 58504-5835 | |
| (701) 712-3290 | |
| Not Available |
| Full Name | Vitality Mental Health, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 919 S 7th St Ste 303, Bismarck, North Dakota |
| Authorized Official Name and Position | Monique Alexandra Pederson (OWNER/LPCC) |
| Authorized Official Contact | 7017123290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Mental Health, Pllc 919 S 7th St Ste 303 Bismarck ND 58504-5835 Ph: (701) 712-3290 | Vitality Mental Health, Pllc 919 S 7th St Ste 303 Bismarck ND 58504-5835 Ph: (701) 712-3290 |
| NPI Number | 1578168993 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 02/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578168993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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