Provider Demographics
NPI:1073816781
Name:VISION BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:VISION BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:919-496-7781
Mailing Address - Street 1:102 W NASH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-2574
Mailing Address - Country:US
Mailing Address - Phone:919-496-7781
Mailing Address - Fax:919-496-1477
Practice Address - Street 1:102 W NASH ST
Practice Address - Street 2:SUITE A
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2574
Practice Address - Country:US
Practice Address - Phone:919-496-7781
Practice Address - Fax:919-496-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health