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

Vitality Wellness Clinic LLC

Organization Specialist · NPI 1760741698

Vitality Wellness Clinic LLC is a Specialist in D'Iberville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3200 Mallett Rd D-3
D'Iberville, MS 39540-9305
Phone: (228) 392-0900
Fax: (228) 392-0902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 20041 (MS)

Record details

NPI number1760741698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Crowder — Owner · (251) 591-9769
Other names Vitality Medical Clinic And Spa
NPI enumeratedMay 12, 2012
Last updated in NPPESAugust 28, 2012
Mailing address3200 Mallett Rd, Suite D-3, D'Iberville, MS 39540-9305