Organization
NATURA VITAE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODSHENNA GANZY (PARTNER/LPCS)
(803) 361-6263
Entity
Organization
Contact information
Practice address
1305 HARD SCRABBLE RD, COLUMBIA, SC 29203-9518
(803) 546-3896
Mailing address
1305 HARD SCRABBLE RD, COLUMBIA, SC 29203-9518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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