| Visions Of Tomorrow, Inc | |
|
522 S Independence Blvd Ste 105 Virginia Beach VA 23452-1149 | |
| (757) 456-9205 | |
| (757) 456-9209 |
| Full Name | Visions Of Tomorrow, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 522 S Independence Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Dominica M Davis (OFFICE MANAGER) |
| Authorized Official Contact | 7574569205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visions Of Tomorrow, Inc Po Box 62331 Virginia Beach VA 23466-2331 Ph: (757) 456-9205 | Visions Of Tomorrow, Inc 522 S Independence Blvd Ste 105 Virginia Beach VA 23452-1149 Ph: (757) 456-9205 |
| NPI Number | 1215128467 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 05/09/2012 |
| Medicare PECOS PAC ID | 2466591714 |
|---|---|
| Medicare Enrollment ID | O20091130000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215128467 | NPI | - | NPPES |
| 1386782993 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006406 (Virginia) | Primary |
| Provider Name | Jacqueline D Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386782993 PECOS PAC ID: 3870680945 Enrollment ID: I20071106000691 |
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