Healthcare Provider Details

I. General information

NPI: 1932061751
Provider Name (Legal Business Name): VITALITY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 CORAL CT STE 2
CORALVILLE IA
52241-2837
US

IV. Provider business mailing address

2451 CORAL CT STE 200
CORALVILLE IA
52241-2837
US

V. Phone/Fax

Practice location:
  • Phone: 319-250-1237
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW REINERT
Title or Position: THERAPIST
Credential: LISW
Phone: 319-550-0313