Provider Demographics
NPI:1922682913
Name:GLOBAL VISION SUPPORT SERVICES LLC
Entity Type:Organization
Organization Name:GLOBAL VISION SUPPORT SERVICES LLC
Other - Org Name:GLOBAL VISIONS SUPPORT SERVICES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-631-5980
Mailing Address - Street 1:123 GOLDSBORO ST S
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-4903
Mailing Address - Country:US
Mailing Address - Phone:919-631-5980
Mailing Address - Fax:
Practice Address - Street 1:135 W. WALNUT STREET
Practice Address - Street 2:SUITE F
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530
Practice Address - Country:US
Practice Address - Phone:919-429-3744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC=========Medicaid