VISION BEHAVIORAL HEALTH SERVICES, LLC (NPI# 1588000442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588000442 |
Entity Type | Organization |
Organization Name | VISION BEHAVIORAL HEALTH SERVICES, LLC |
Practice Address |
104 N Main St Suite 200 Louisburg NC 27549-2516 |
Practice Telephone | 9194967781 |
Practice Fax Number | 9194961477 |
Mailing Telephone | 9194967781 |
Mailing Fax Number | 9194961477 |
Enumeration Date | 2013-05-20 |
Last Update Date | 2013-05-20 |
Authorized Official Name | SHARON ELIZABETH GARRETT (CEO) |
Authorized Official Telephone | 3368315480 |
Authorized Official Credential | M.ED. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | MHL035056 | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6006273 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902006992 | Vision Behavioral Health Services, LLC | Community/Behavioral Health | 495 Arbor Hill Rd Ste E, Kernersville, NC 27284-3335 | 2007-07-19 |
1619268109 | Vision Behavioral Health Services, LLC | Community/Behavioral Health | 104 N Main St, Suite A, Louisburg, NC 27549-2516 | 2011-05-02 |
1073816781 | Vision Behavioral Health Services, LLC | Community/Behavioral Health | 102 W Nash St, Suite A, Louisburg, NC 27549-2574 | 2010-12-20 |
1528240272 | Vision Behavioral Health Services, LLC | Community/Behavioral Health | 104 N Main St, Louisburg, NC 27549-2516 | 2007-12-04 |
1548460538 | Vision Behavioral Health Services, LLC | Day Training, Developmentally Disabled Services | 495 Arbor Hill Rd Ste E, Kernersville, NC 27284-3335 | 2007-07-19 |
1710187703 | Vision Behavioral Health Services, LLC | Community/Behavioral Health | 495 Arbor Hill Rd Ste E, Kernersville, NC 27284-3335 | 2007-07-19 |
1801096896 | Vision Behavioral Health Services, LLC | Community/Behavioral Health | 495 Arbor Hill Rd Ste E, Kernersville, NC 27284-3335 | 2007-07-19 |
1922163252 | Vision Behavioral Health Services, LLC | Counselor | 104 N Main St, Louisburg, NC 27549-2516 | 2006-12-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporation | Vision Behavioral Health Services, LLC | 104 North Main Street , Louisburg, NC 27549-2516 |
Virginia Business Entity | VISION BEHAVIORAL HEALTH SERVICES, LLC | 100 S MARSHALL ST , WINSTON SALEM, NC 27101 |
Street Address |
104 N MAIN ST SUITE 200 |
City | LOUISBURG |
State | NC |
Zip Code | 27549-2516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891317988 | Jasmine Watts | Counselor | 104 N Main St, Louisburg, NC 27549-2516 | 2020-05-11 |
1578091864 | Joelle Jacobs | Social Worker | 104 N Main St, Louisburg, NC 27549-2516 | 2017-05-31 |
1386196525 | Brandon Jefferson Russell | Counselor | 104 N Main St, Louisburg, NC 27549-2516 | 2016-11-03 |
1528306685 | Nicole D Spruill | Social Worker | 104 N Main St, Louisburg, NC 27549-2516 | 2013-01-24 |
1952663007 | Kristin Lorene Byers | Social Worker | 104 N Main St, Suite 200, Louisburg, NC 27549-2516 | 2012-06-14 |
1619268109 | Vision Behavioral Health Services, LLC | Community/Behavioral Health | 104 N Main St, Suite A, Louisburg, NC 27549-2516 | 2011-05-02 |
1588974158 | Vision Behavioral Health Services | Community/Behavioral Health | 104 N Main St, Suite 200, Louisburg, NC 27549-2516 | 2010-10-18 |
1528240272 | Vision Behavioral Health Services, LLC | Community/Behavioral Health | 104 N Main St, Louisburg, NC 27549-2516 | 2007-12-04 |
1952456535 | Sharon Elizabeth Garrett | Counselor | 104 N Main St, Suite 200, Louisburg, NC 27549-2516 | 2007-01-24 |
1184772956 | Charles A Stiles | Counselor | 104 N Main St, Suite 200, Louisburg, NC 27549-2516 | 2007-01-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
1285065797 | Carey Wainwright | Counselor | 104 N. Main Street, Suite 200, Vision Behavioral Health Services, Louisburg, NC 27549 | 2013-12-09 |
1114366713 | Alston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 Schloss Road #b, Loiusburg, NC 27549 | 2013-06-18 |
1154760981 | Tony's Helping Hand | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32 Gayline Drive, Louisburg, NC 27549 | 2013-06-14 |
1689910192 | E Marie Buie | Counselor | 669 Sagamore, Louisburg, NC 27549 | 2013-01-02 |
1508158163 | Julie P Leonard | Pharmacist | 102 N. Bickett Blvd., Louisburg, NC 27549 | 2011-05-13 |
1508162678 | Franklin County Department of Social Services | Case Management | 107 Industrial Dr., Suite A, Louisburg, NC 27549 | 2011-02-07 |
1134352693 | Howard G Yee, Dmd Pa | Dentist | 311 South Bickett, Louisburg, NC 27549 | 2009-09-01 |
1679740203 | Stephen D Perdue | Physical Therapy Assistant | 2176 Nc Hwy 39 North, Louisburg, NC 27549 | 2008-05-13 |
Find all providers in zip 27549 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659754737 | Changing Lives With Hope | Community/Behavioral Health | 86 Tanglewood Dr, Louisburg, NC 27549-2698 | 2015-07-07 |
1417367228 | Alliance Rehabilitative Care, Inc | Community/Behavioral Health | 362 Burnette Rd, Louisburg, NC 27549-2762 | 2014-05-01 |
1043646003 | Family Preservation Services of Nc, Inc - Edward Best School | Community/Behavioral Health | 4011 Nc 56 Hwy E, Louisburg, NC 27549-9499 | 2013-09-23 |
1982984712 | Family Preservation Services of Nc, Inc - Terrell Lane Middle School | Community/Behavioral Health | 101 Terrell Ln, Louisburg, NC 27549-9207 | 2011-08-24 |
1306126131 | Family Preservation Services of Nc, Inc - Louisburg Elementary School | Community/Behavioral Health | 50 Stone Southerland Rd, Louisburg, NC 27549-6710 | 2011-08-24 |
1730418633 | County of Franklin | Community/Behavioral Health | 107 Industrial Dr Ste C, Louisburg, NC 27549-2371 | 2009-12-24 |
1700917598 | Central Community Services LLC | Community/Behavioral Health | 101 Industrial Dr, Louisburg, NC 27549-2375 | 2007-03-07 |
1659425098 | D.d. Residential Services, Inc | Community/Behavioral Health | 663 Moulton Rd, Franklin County Group Home #1, Louisburg, NC 27549-7753 | 2007-01-23 |
1467866236 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 101 Terrell Ln, Louisburg, NC 27549-9207 | 2014-06-19 |
1164836102 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 50 Stone Southerland Rd, Louisburg, NC 27549-6710 | 2014-06-18 |
Find all providers in LOUISBURG |
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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.