Provider Demographics
NPI:1013741685
Name:VASAYA HEALTH LLC
Entity type:Organization
Organization Name:VASAYA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:DALE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:678-850-8575
Mailing Address - Street 1:18 GREENVILLE ST # 2345
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-2789
Mailing Address - Country:US
Mailing Address - Phone:678-252-6919
Mailing Address - Fax:678-737-1616
Practice Address - Street 1:1561 MCLENDON AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2167
Practice Address - Country:US
Practice Address - Phone:678-252-6919
Practice Address - Fax:678-737-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty