Envisions Of Life Llc

LBN: Envisions Of Life Llc
Envisions Of Life Llc is an health care organization with primary practice located at 5 Centerview Drive Suite 110, Greensboro NC 27407-3709. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Envisions Of Life Llc can be contacted via phone (336) 887-0708, or through Moore, Tomeko Michelle via phone (336) 887-0708.

Contact Information

Primary practice address
5 Centerview Drive Suite 110 Greensboro NC 27407-3709
Phone: (336) 887-0708
Fax: (336) 887-1085
Website:
Map and Directions
Authorized official contact:
Name: Moore, Tomeko Michelle
Phone: (336) 887-0708

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X North Carolina
Agencies / Community/Behavioral Health 251S00000X North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X North Carolina

Profile Details

NPI number 1104179555
LBN Legal business name Envisions Of Life Llc
DBA Doing business as
Authorized official Moore, Tomeko Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2012
Last updated Mar 25th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104179555 NPPES
North Carolina MEDICAID 6006285

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