| Vision Behavioral Health Services, Llc | |
|
104 N Main St Louisburg NC 27549-2516 | |
| (919) 496-7781 | |
| (919) 496-1477 |
| Full Name | Vision Behavioral Health Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 104 N Main St, Louisburg, North Carolina |
| Authorized Official Name and Position | Nicole Decarlo Spruill (CEO) |
| Authorized Official Contact | 9194967781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Behavioral Health Services, Llc 104 N Main St Louisburg NC 27549-2516 Ph: (919) 496-7781 | Vision Behavioral Health Services, Llc 104 N Main St Louisburg NC 27549-2516 Ph: (919) 496-7781 |
| NPI Number | 1922163252 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 12/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922163252 | NPI | - | NPPES |
| 8301200 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (North Carolina) | Primary |
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