Provider Demographics
NPI:1750162145
Name:ADVANCED NEURO HEALING LLC
Entity type:Organization
Organization Name:ADVANCED NEURO HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAPRICE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS-LCMHC
Authorized Official - Phone:801-989-6432
Mailing Address - Street 1:1490 EAST FOREMASTER DRIVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ST. GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790
Mailing Address - Country:US
Mailing Address - Phone:435-429-1207
Mailing Address - Fax:866-887-9694
Practice Address - Street 1:1490 EAST FOREMASTER DRIVE
Practice Address - Street 2:SUITE 250
Practice Address - City:ST. GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-351-2220
Practice Address - Fax:866-887-9694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0301XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBrain Injury MedicineGroup - Multi-Specialty