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General NPI Number Information
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NPI Number | 1700731213
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Entity Type | Organization
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Legal Business Name | VITELA THERAPY AND HEALING LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 57898 7TH ST
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City | ELKHART
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State | IN
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Zip | 46517-1904
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Country | US
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Telephone | 574-500-6911
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 61
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City | GRANGER
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State | IN
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Zip | 46530-0061
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Country | US
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Telephone | 574-500-6911
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | JONA VITELA
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Credential | LCSW
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Telephone | 574-500-6911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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