| Vitality Partners, Llc | |
|
3355 Saint Johns Ln Ste F Ellicott City MD 21042-2600 | |
| (240) 334-7650 | |
| (855) 697-2497 |
| Full Name | Vitality Partners, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3355 Saint Johns Ln Ste F, Ellicott City, Maryland |
| Authorized Official Name and Position | Kimberly Camille Walker (OWNER) |
| Authorized Official Contact | 7174974418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Partners, Llc 5325 Woodlot Rd Columbia MD 21044-5721 Ph: (717) 497-4418 | Vitality Partners, Llc 3355 Saint Johns Ln Ste F Ellicott City MD 21042-2600 Ph: (240) 334-7650 |
| NPI Number | 1154917748 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154917748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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