| Vital Mental Health Specialists | |
|
1821 University Ave W Ste 298 Saint Paul MN 55104-2875 | |
| (651) 756-8183 | |
| (651) 756-8336 |
| Full Name | Vital Mental Health Specialists |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1821 University Ave W Ste 298, Saint Paul, Minnesota |
| Authorized Official Name and Position | Theophilus Mbi Akoh (MEMBER) |
| Authorized Official Contact | 7753357450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Mental Health Specialists 1821 University Ave W Ste 298 Saint Paul MN 55104-2875 Ph: (651) 756-8183 | Vital Mental Health Specialists 1821 University Ave W Ste 298 Saint Paul MN 55104-2875 Ph: (651) 756-8183 |
| NPI Number | 1073121935 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073121935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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