Healthcare Provider Details

I. General information

NPI: 1457289928
Provider Name (Legal Business Name): VANTAGE POINT COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 32ND AVE S STE 210
FARGO ND
58103-6163
US

IV. Provider business mailing address

1015 29TH AVE W
WEST FARGO ND
58078-7875
US

V. Phone/Fax

Practice location:
  • Phone: 612-735-5926
  • Fax:
Mailing address:
  • Phone: 612-735-5926
  • 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

VIII. Authorized Official

Name: DETON C HART
Title or Position: OWNER
Credential: LAPC
Phone: 612-735-5926