Provider Demographics
NPI:1487204301
Name:VISION COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:VISION COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:SHAVANTI
Authorized Official - Last Name:ROSCOE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-890-8027
Mailing Address - Street 1:606 DENBIGH BLVD STE 405
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-4437
Mailing Address - Country:US
Mailing Address - Phone:757-890-8027
Mailing Address - Fax:
Practice Address - Street 1:606 DENBIGH BLVD STE 405
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-4437
Practice Address - Country:US
Practice Address - Phone:757-890-8027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty