# LIV ADVANTIA DC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liv by Advantia Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659981884
- **Authorized official:** VICTORIA DODSON (CREDENTIALING MANAGER)
- **Authorized official phone:** (443) 398-0189

## Contact information

- **Practice address:** 1443 U ST NW, WASHINGTON, DC 20009-3974
- **Practice address phone:** (202) 315-5223
- **Mailing address:** 1443 U ST NW, WASHINGTON, DC 20009-3974
- **Mailing address phone:** (202) 481-9205
- **Mailing address fax:** (833) 629-0566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/03/2020
- **Last updated:** 08/06/2024