| Vitality Therapeutics | |
|
47855 Gallatin Rd Gallatin Gateway MT 59730-8681 | |
| (406) 225-7797 | |
| Not Available |
| Full Name | Vitality Therapeutics |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 47855 Gallatin Rd, Gallatin Gateway, Montana |
| Authorized Official Name and Position | Danielle Amalia Osti Chenoweth (CEO) |
| Authorized Official Contact | 4062257797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Therapeutics Po Box 161354 Big Sky MT 59716-1354 Ph: (406) 225-7797 | Vitality Therapeutics 47855 Gallatin Rd Gallatin Gateway MT 59730-8681 Ph: (406) 225-7797 |
| NPI Number | 1700585049 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700585049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |