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Envisions Of Life Llc
Psychiatric/Mental Health Nurse Practitioner in Greensboro, North Carolina
NPI 1013261957

Envisions Of Life Llc is a Psychiatric/Mental Health Nurse Practitioner based in Greensboro, NC and is specialized in Psychiatric/Mental Health. Envisions Of Life Llc practices in Greensboro, NC. The NPI Number for Envisions Of Life Llc is 1013261957 and holds a License No. (North Carolina).

The current practice location address for Envisions Of Life Llc is 5 Centerview Drive, Greensboro, NC and can be reached out via phone at 336-887-0708 and via fax at 336-887-1085.

Location: 5 Centerview Drive, Greensboro, NC, 27407-3079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013261957
Provider Name
Envisions Of Life Llc
Credential
Provider Entity Type
Organization
Address
5 Centerview Drive, Greensboro, NC, 27407-3079
Phone Number
336-887-0708
Fax Number
336-887-1085
Provider Enumeration Date
10/30/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5908655 05 NC
institution
Provider Business Practice Location Address Details
Address
5 Centerview Drive
City
Greensboro
State
North Carolina
Zip
27407-3709
Phone Number
336-887-0708
Fax Number
336-887-1085
person
Provider Business Mailing Address Details
Address
5 Centerview Drive
City
Greensboro
State
North Carolina
Zip
27407-3709
Phone Number
336-887-0708
Fax Number
336-887-1085
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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