Healthcare Provider Details

I. General information

NPI: 1699691881
Provider Name (Legal Business Name): THOUGHTS2VISION,VISION 2REALITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S ELM ST
GREENSBORO NC
27401-2698
US

IV. Provider business mailing address

1723 RIVER CLUB WAY
FRANKLINTON NC
27525-7048
US

V. Phone/Fax

Practice location:
  • Phone: 252-820-9170
  • Fax:
Mailing address:
  • Phone: 252-820-9170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRENDA J SMALL
Title or Position: MEMBER MANGER
Credential:
Phone: 252-820-8170