# ADVANCED NEURO HEALING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750162145
- **Authorized official:** CAPRICE ELIZABETH COMPTON MS-LCMHC (OWNER/DIRECTOR)
- **Authorized official phone:** (801) 989-6432

## Contact information

- **Practice address:** 1490 EAST FOREMASTER DRIVE, SUITE 250, ST. GEORGE, UT 84790
- **Practice address phone:** (435) 351-2220
- **Practice address fax:** (866) 887-9694
- **Mailing address:** 1490 EAST FOREMASTER DRIVE, SUITE 250, ST. GEORGE, UT 84790
- **Mailing address phone:** (435) 429-1207
- **Mailing address fax:** (866) 887-9694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2023
- **Last updated:** 11/02/2023