Healthcare Provider Details

I. General information

NPI: 1861325847
Provider Name (Legal Business Name): VITAL CARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BROOKWOOD DR
VICKSBURG MS
39183-1622
US

IV. Provider business mailing address

111 BROOKWOOD DR
VICKSBURG MS
39183-1622
US

V. Phone/Fax

Practice location:
  • Phone: 601-272-8692
  • Fax:
Mailing address:
  • Phone: 601-272-8692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CRISTA LOVETTE
Title or Position: MANAGING MEMBER
Credential: ED.S.
Phone: 601-272-8692