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VITAL MINDS PSYCHOTHERAPY & LIFE COACHING, LLC
NPI 1467217570
Social Worker - Clinical in Blackwood, NJ

Active since February 19, 2024
118 HIDDEN DR, BLACKWOOD, NJ 08012(609) 254-6213 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vital Minds Psychotherapy & Life Coaching, Llc NPPES

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

VITAL MINDS PSYCHOTHERAPY & LIFE COACHING, LLC (NPI 1467217570) is a healthcare organization registered as a clinical in Blackwood, New Jersey and active in the NPI registry since February 2024. The organization lists Quenise Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1467217570
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameVITAL MINDS PSYCHOTHERAPY & LIFE COACHING, LLC
Location Address118 HIDDEN DRBlackwood, NJ 08012-4430
Mailing Address288 Egg Harbor Rd Ste 9Sewell, NJ 08080-3131 · (609) 254-6213
Phone(609) 254-6213
Organization SubpartNo
Authorized OfficialQuenise HarrisonOwner · (609) 254-6213
Enumeration DateFebruary 19, 2024
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1467217570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
118 HIDDEN DR, Blackwood, NJ 08012
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Vital Minds Psychotherapy & Life Coaching, LLC's NPI number?

The NPI number for Vital Minds Psychotherapy & Life Coaching, LLC is 1467217570. It was assigned to this organization in the NPPES registry on February 19, 2024.

Where is Vital Minds Psychotherapy & Life Coaching, LLC located?

Vital Minds Psychotherapy & Life Coaching, LLC is located at 118 Hidden Dr, Blackwood, NJ 08012. The listed phone number is (609) 254-6213.

What is Vital Minds Psychotherapy & Life Coaching, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Vital Minds Psychotherapy & Life Coaching, LLC was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.