Healthcare Provider Details

I. General information

NPI: 1538840285
Provider Name (Legal Business Name): ADVANCING FORWARD HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 WESTGATE CENTER DR
WINSTON SALEM NC
27103-2933
US

IV. Provider business mailing address

1312 WESTGATE CENTER DR
WINSTON SALEM NC
27103-2933
US

V. Phone/Fax

Practice location:
  • Phone: 336-999-3228
  • Fax: 336-997-9788
Mailing address:
  • Phone: 336-999-3228
  • Fax: 336-997-9788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA LEVIN
Title or Position: MEDICAL DIRECTOR / OWNER
Credential: MD
Phone: 704-783-5583