Provider Demographics
NPI:1225474307
Name:ANOINTED HEALING
Entity Type:Organization
Organization Name:ANOINTED HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FALLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-880-7899
Mailing Address - Street 1:113 MOUNTAIN BROOK DR STE 208
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-9057
Mailing Address - Country:US
Mailing Address - Phone:678-880-7899
Mailing Address - Fax:678-880-8184
Practice Address - Street 1:113 MOUNTAIN BROOK DR STE 208
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-9057
Practice Address - Country:US
Practice Address - Phone:678-880-7899
Practice Address - Fax:678-880-8184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008033174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty