Provider Demographics
NPI:1346059615
Name:NATURA VITAE HEALTH
Entity type:Organization
Organization Name:NATURA VITAE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/LPCS
Authorized Official - Prefix:
Authorized Official - First Name:RODSHENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GANZY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-361-6263
Mailing Address - Street 1:1305 HARD SCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-9518
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1305 HARD SCRABBLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-9518
Practice Address - Country:US
Practice Address - Phone:803-546-3896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty