MEDICARE: VISIONS OF HOPE MENTAL HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1346075397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISIONS OF HOPE MENTAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	1 SOUTH BLVD E # 358
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-7547
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 SOUTH BLVD E # 358
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-7547
Country	:	US
Telephone Number	:	863-458-3637
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	NADIA C BAKER
Credential	:	LCSW
Telephone Number	:	863-458-3637

Provider Enumeration Date	:	09/07/2024
Last Update Date	:	04/26/2025

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