Provider Demographics
NPI:1952814154
Name:FAMILYVISIONS LLC
Entity Type:Organization
Organization Name:FAMILYVISIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCEUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-865-5549
Mailing Address - Street 1:71 WEST FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-2449
Mailing Address - Country:US
Mailing Address - Phone:443-865-5549
Mailing Address - Fax:410-602-5108
Practice Address - Street 1:71 WEST FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2140
Practice Address - Country:US
Practice Address - Phone:443-865-5549
Practice Address - Fax:410-602-5108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health