Provider Demographics
NPI:1801414487
Name:VISIONS OF LIFE COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:VISIONS OF LIFE COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:678-551-9198
Mailing Address - Street 1:2692 HARRIS ST STE 101
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-2672
Mailing Address - Country:US
Mailing Address - Phone:678-596-6703
Mailing Address - Fax:678-948-2155
Practice Address - Street 1:2692 HARRIS ST STE 101
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-2672
Practice Address - Country:US
Practice Address - Phone:678-381-7126
Practice Address - Fax:678-248-9155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty