Provider Demographics
NPI:1346934494
Name:VISIONS LLC
Entity Type:Organization
Organization Name:VISIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAQUES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:314-560-7063
Mailing Address - Street 1:5801 MOUNT PLEASANT LN
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-3944
Mailing Address - Country:US
Mailing Address - Phone:618-489-5102
Mailing Address - Fax:618-489-5103
Practice Address - Street 1:3306 S 6TH ST. ROAD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703-4735
Practice Address - Country:US
Practice Address - Phone:217-638-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty