1. Home
  2. Directory
  3. Tennessee
  4. Henderson
  5. Nurse Practitioner
  6. NPI Profile

VITALITY MENTAL HEALTH AND WELLNESS PLLC
NPI 1093566226
Nurse Practitioner - Psychiatric/Mental Health in Henderson, TN

Active since March 27, 2024
587 E MAIN ST, HENDERSON, TN 38340(731) 251-3470(731) 201-5250 Get Directions Write a Review

NPPES record last updated: September 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vitality Mental Health And Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY MENTAL HEALTH AND WELLNESS PLLC (NPI 1093566226) is a healthcare organization registered as a psychiatric/mental health in Henderson, Tennessee and active in the NPI registry since March 2024. The organization lists Tracey Renee Puckett, Owner, as its authorized official.

NPPES Registry Identity

NPI1093566226
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVITALITY MENTAL HEALTH AND WELLNESS PLLC
Location Address587 E MAIN STHenderson, TN 38340-2440
Mailing Address1340 Dry Creek RdPinson, TN 38366-1735
Phone(731) 251-3470
Fax(731) 201-5250
Organization SubpartNo
Authorized OfficialTracey Renee PuckettOwner · (731) 608-0962
Enumeration DateMarch 27, 2024
Last NPPES UpdateSeptember 21, 2025
NPPES CertifiedSeptember 21, 2025
✔ NPI 1093566226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
587 E MAIN ST, Henderson, TN 38340
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELINA ROSE LCSW
Social Worker (Clinical)
587 E MAIN ST
HENDERSON, TN 38340
Chester County (731) 608-4141
ROSE COUNSELING
Social Worker (Clinical)
587 E MAIN ST
HENDERSON, TN 38340
Chester County (731) 608-4141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Mental Health And Wellness PLLC's NPI number?

The NPI number for Vitality Mental Health And Wellness PLLC is 1093566226. It was assigned to this organization in the NPPES registry on March 27, 2024.

Where is Vitality Mental Health And Wellness PLLC located?

Vitality Mental Health And Wellness PLLC is located at 587 E Main St, Henderson, TN 38340. The listed phone number is (731) 251-3470.

What is Vitality Mental Health And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Vitality Mental Health And Wellness PLLC was last updated on September 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.