ENVISIONS OF LIFE LLC (NPI# 1013261957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013261957 |
| Entity Type | Organization |
| Organization Name | ENVISIONS OF LIFE LLC |
| Practice Address |
5 Centerview Drive Suite 110 Greensboro NC 27407-3709 |
| Mailing Address |
5 Centerview Drive Suite 110 Greensboro NC 27407-3079 |
| Practice Telephone | 3368870708 |
| Practice Fax Number | 3368871085 |
| Mailing Telephone | 3368870708 |
| Mailing Fax Number | 3368871085 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | TOMEKO MICHELLE MOORE (PRESIDENTE) |
| Authorized Official Telephone | 3368870708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NC | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5908655 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386195840 | Envisions of Life LLC | Community Based Residential Treatment Facility, Mental Illness | 449 W Main St, Jonesville, NC 28642-2130 | 2016-10-20 |
| 1346593233 | Envisions of Life LLC | Counselor | 5 Centerview Drive, Suite 110, Greensboro, NC 27407-3709 | 2012-10-17 |
| 1891992673 | Envisions of Life LLC | Counselor | 218 N Mcpherson Church Rd, Fayetteville, NC 28303-4495 | 2007-06-27 |
| 1881788818 | Envisions of Life LLC | Counselor | 5 Centerview Dr., Greensboro, NC 27407-3709 | 2006-10-03 |
| 1104179555 | Envisions of Life LLC | Counselor | 5 Centerview Drive, Suite 110, Greensboro, NC 27407-3709 | 2012-10-23 |
| Street Address |
5 CENTERVIEW DRIVE SUITE 110 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593233 | Envisions of Life LLC | Counselor | 5 Centerview Drive, Suite 110, Greensboro, NC 27407-3709 | 2012-10-17 |
| 1104179555 | Envisions of Life LLC | Counselor | 5 Centerview Drive, Suite 110, Greensboro, NC 27407-3709 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766134 | Cecilia Gonzalez Barber | Counselor | 5g Oak Branch Dr, Greensboro, NC 27407-2157 | 2020-10-06 |
| 1134739550 | Chekayla Jones | Counselor | 230 Blandwood Ave Apt 2a, Greensboro, NC 27401-2352 | 2020-08-01 |
| 1174131213 | Integrated Healthcare Solutions of Nc LLC | Counselor | 2800 Lawndale Dr Apt 3f, Greensboro, NC 27408-4104 | 2020-07-15 |
| 1780207555 | Gate City Counseling, Pllc | Counselor | 3209 Hobbs Landing Ct, Greensboro, NC 27410-4846 | 2020-05-27 |
| 1043833635 | Bianca Lepri Morris | Counselor | 207 S Westgate Dr Ste K, Greensboro, NC 27407-1655 | 2020-05-18 |
| 1992324180 | Regina R Ratliff | Counselor | 2107 Tealwood Dr, Greensboro, NC 27407-6075 | 2020-04-08 |
| 1730718297 | Darius Sinclair Barthell | Counselor | 3822 N Elm St Unit 101, Greensboro, NC 27455-2596 | 2020-04-06 |
| 1730717448 | Jacqueline Harris | Counselor | 4708 Mallard Creek Dr, Greensboro, NC 27405-2782 | 2020-03-29 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1932734662 | Julie Lynne Bean | Counselor | 5500 Rutledge Dr, Greensboro, NC 27455-1258 | 2020-03-03 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
Please comment or provide details below to improve the information on ENVISIONS OF LIFE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.