| Vision Beyond Behaviors Llc | |
|
1042 Halifax St Petersburg VA 23803-4943 | |
| (804) 712-3546 | |
| Not Available |
| Full Name | Vision Beyond Behaviors Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1042 Halifax St, Petersburg, Virginia |
| Authorized Official Name and Position | Titoni Crenshaw (CEO) |
| Authorized Official Contact | 8047123546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Beyond Behaviors Llc 6985 Hearthside Dr Prince George VA 23875-2663 Ph: (804) 712-3546 | Vision Beyond Behaviors Llc 1042 Halifax St Petersburg VA 23803-4943 Ph: (804) 712-3546 |
| NPI Number | 1548863079 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Certification Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548863079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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