Envisions of Life LLC
NPI #1013261957 in Greensboro, North Carolina
Provider Information
- NPI Number
- 1013261957
- Entity Type
- Organization
- Organization Name
- Envisions of Life LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 30, 2012
- Last Updated
- Mar 25, 2015
Practice Location
- Address
- 5 CENTERVIEW DRIVE
- Address 2
- SUITE 110
- City
- Greensboro
- State
- North Carolina
- ZIP Code
- 27407-3709
- Phone
- (336) 887-0708
Authorized Official
- Name
- TOMEKO MICHELLE MOORE
- Title
- PRESIDENTE
- Phone
- (336) 887-0708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Counselor - Mental Health — Mental Health |
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