Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vitality Family Mental Health, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1790224939

Vitality Family Mental Health, LLC is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4149 Lyndale Ave N Ste 107
Minneapolis, MN 55412-1703
Phone: (612) 200-0866
Fax: (612) 520-5662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 302652 (MN)
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 302652 (MN)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Counseling Psychologist Taxonomy 103TC1900X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Family Psychologist Taxonomy 103TF0000X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Clinical Social Worker Taxonomy 1041C0700X · Licence 24498 (MN)

Record details

NPI number1790224939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Brown — President · (612) 200-0866
NPI enumeratedFebruary 21, 2017
Last updated in NPPESFebruary 21, 2017
Mailing address4149 Lyndale Ave N, Suite 107, Minneapolis, MN 55412-1703

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