Provider Demographics
NPI:1073652947
Name:NUVISIONS ENTERPRISES INC.
Entity Type:Organization
Organization Name:NUVISIONS ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALIFIED PROFESSIONAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAQUTA
Authorized Official - Middle Name:LASHALL
Authorized Official - Last Name:COURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-638-4555
Mailing Address - Street 1:3706 YARMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5119
Mailing Address - Country:US
Mailing Address - Phone:252-638-4555
Mailing Address - Fax:252-635-1998
Practice Address - Street 1:3706 YARMOUTH RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5119
Practice Address - Country:US
Practice Address - Phone:252-638-4555
Practice Address - Fax:252-635-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
NC322D00000X322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children