Provider Demographics
NPI:1639062334
Name:VITAL HEALING, LLC
Entity type:Organization
Organization Name:VITAL HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:225-802-8185
Mailing Address - Street 1:PO BOX 267
Mailing Address - Street 2:
Mailing Address - City:DARROW
Mailing Address - State:LA
Mailing Address - Zip Code:70725-0267
Mailing Address - Country:US
Mailing Address - Phone:225-802-8185
Mailing Address - Fax:
Practice Address - Street 1:3353 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:DARROW
Practice Address - State:LA
Practice Address - Zip Code:70725-2010
Practice Address - Country:US
Practice Address - Phone:225-802-8185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty