Provider Demographics
NPI:1245551183
Name:VISIONS OF GREATNESS
Entity type:Organization
Organization Name:VISIONS OF GREATNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHELVIN
Authorized Official - Middle Name:AUNDRA
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-815-9113
Mailing Address - Street 1:1401 PEACHTREE ST NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3023
Mailing Address - Country:US
Mailing Address - Phone:404-815-9113
Mailing Address - Fax:404-815-9138
Practice Address - Street 1:1401 PEACHTREE ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3023
Practice Address - Country:US
Practice Address - Phone:404-815-9113
Practice Address - Fax:404-815-9138
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHELVIN RICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7998894251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health