Provider Demographics
NPI:1568103679
Name:REEVISION NETWORK LLC
Entity Type:Organization
Organization Name:REEVISION NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-987-1800
Mailing Address - Street 1:6325 N CENTER DR STE 230
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-0013
Mailing Address - Country:US
Mailing Address - Phone:757-987-1800
Mailing Address - Fax:757-210-3868
Practice Address - Street 1:6325 N CENTER DR STE 230
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-0013
Practice Address - Country:US
Practice Address - Phone:757-987-1800
Practice Address - Fax:757-210-3868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health