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General NPI Number Information
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NPI Number | 1215873427
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Entity Type | Organization
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Legal Business Name | VITAMIND PSYCHOTHERAPY & WELLNESS, PLLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 2055 WHITE BEAR AVE N STE 125
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City | MAPLEWOOD
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State | MN
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Zip | 55109-3721
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Country | US
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Telephone | 651-504-4285
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Fax |
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Provider Business Mailing Address
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Address Line | 2688 RICE ST UNIT 2068
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City | LITTLE CANADA
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State | MN
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Zip | 55113-2201
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Country | US
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Telephone | 651-504-4285
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Fax |
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Authorized Official
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Title or Position | LICENSED THERAPIST AND SUPERVISOR
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Name | GAO CHEE VANG
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Credential | MSW, LICSW
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Telephone | 651-504-4285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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