Provider Demographics
NPI:1356665079
Name:VITALI, ALINA (MSW, LMHC)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:VITALI
Suffix:
Gender:F
Credentials:MSW, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 TAMIAMI TRL N STE 128
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4135
Mailing Address - Country:US
Mailing Address - Phone:800-961-3367
Mailing Address - Fax:800-961-3367
Practice Address - Street 1:3201 TAMIAMI TRL N STE 128
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4135
Practice Address - Country:US
Practice Address - Phone:800-961-3367
Practice Address - Fax:800-961-3367
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12294101YM0800X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical