Healthcare Provider Details

I. General information

NPI: 1073652947
Provider Name (Legal Business Name): NUVISIONS ENTERPRISES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3706 YARMOUTH RD
NEW BERN NC
28562-5119
US

IV. Provider business mailing address

3706 YARMOUTH RD
NEW BERN NC
28562-5119
US

V. Phone/Fax

Practice location:
  • Phone: 252-638-4555
  • Fax: 252-635-1998
Mailing address:
  • Phone: 252-638-4555
  • Fax: 252-635-1998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number322D00000X
License Number StateNC

VIII. Authorized Official

Name: MRS. LAQUTA LASHALL COURMAN
Title or Position: QUALIFIED PROFESSIONAL
Credential:
Phone: 252-638-4555