Provider Demographics
NPI:1528715455
Name:TRUE NORTH VITALITY
Entity type:Organization
Organization Name:TRUE NORTH VITALITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMERER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-303-2461
Mailing Address - Street 1:144 ORME RD
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-3523
Mailing Address - Country:US
Mailing Address - Phone:412-303-2461
Mailing Address - Fax:
Practice Address - Street 1:131 MATHEWS ST STE 1500
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6939
Practice Address - Country:US
Practice Address - Phone:412-303-2461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty