Provider Demographics
NPI:1376302323
Name:FIDES HEALTH ADVOCATES, LLC
Entity Type:Organization
Organization Name:FIDES HEALTH ADVOCATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDEPENDENT HEALTH ADVOCATE, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAFILAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAWU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C, AOCNP
Authorized Official - Phone:404-389-3144
Mailing Address - Street 1:107 GLOSTER MILL WAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-7340
Mailing Address - Country:US
Mailing Address - Phone:404-510-8493
Mailing Address - Fax:
Practice Address - Street 1:8735 DUNWOODY PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-2995
Practice Address - Country:US
Practice Address - Phone:404-389-3144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty