Provider Demographics
NPI:1255501649
Name:VISION BEHAVIORAL HEALTH SERVICES,LLC
Entity type:Organization
Organization Name:VISION BEHAVIORAL HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-992-0429
Mailing Address - Street 1:495 ARBOR HILL RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-3374
Mailing Address - Country:US
Mailing Address - Phone:336-992-0429
Mailing Address - Fax:336-993-3709
Practice Address - Street 1:495 ARBOR HILL RD
Practice Address - Street 2:SUITE E
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3374
Practice Address - Country:US
Practice Address - Phone:336-992-0429
Practice Address - Fax:336-993-3709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301200Medicaid