Healthcare Provider Details

I. General information

NPI: 1962392217
Provider Name (Legal Business Name): MENTAL VITALITY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 SMOKEMONT DR
CARY NC
27513-5704
US

IV. Provider business mailing address

213 SMOKEMONT DR
CARY NC
27513-5704
US

V. Phone/Fax

Practice location:
  • Phone: 919-744-4426
  • Fax:
Mailing address:
  • Phone: 919-744-4426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY MWIHAKI JONES
Title or Position: FOUNDER
Credential: PMHNP-BC
Phone: 919-744-4426