Provider Demographics
NPI:1356706618
Name:ADVANCING HEALTH AND HEALING LLC
Entity type:Organization
Organization Name:ADVANCING HEALTH AND HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VINTONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-284-5498
Mailing Address - Street 1:3951 SNAPFINGER PKWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-3202
Mailing Address - Country:US
Mailing Address - Phone:404-284-5498
Mailing Address - Fax:
Practice Address - Street 1:3951 SNAPFINGER PKWY
Practice Address - Street 2:SUITE 350
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-3202
Practice Address - Country:US
Practice Address - Phone:404-284-5498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA31482174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty