Provider Demographics
NPI:1265722045
Name:TRUE VISIONS
Entity type:Organization
Organization Name:TRUE VISIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYLON
Authorized Official - Middle Name:D
Authorized Official - Last Name:HINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-858-3873
Mailing Address - Street 1:3013 GRANDE HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7022
Mailing Address - Country:US
Mailing Address - Phone:704-858-3873
Mailing Address - Fax:704-547-0887
Practice Address - Street 1:1825 SUMTER ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2501
Practice Address - Country:US
Practice Address - Phone:704-858-3873
Practice Address - Fax:704-547-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health