Organization · Type 2 NPI
Envisions of Life LLC
Psychiatric/Mental Health Nurse Practitioner · Greensboro, NC
NPI number
1104179555
Active
Practice location
5 Centerview Drive, Suite 110
Greensboro, NC 27407-3709
Fax (336) 887-1085
Mailing address
5 Centerview Dr., Suite 110
Greensboro, NC 27407-3709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1104179555
Envisions of Life LLC's National Provider Identifier is 1104179555, issued on Oct 23, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Greensboro, NC. The record was last updated on Mar 25, 2015.