Healthcare Provider Details

I. General information

NPI: 1942126784
Provider Name (Legal Business Name): VISION UNFOLDING CARES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E MAIN ST FL 16
NORFOLK VA
23510-2205
US

IV. Provider business mailing address

1215 N MILITARY HWY # 236
NORFOLK VA
23502-2228
US

V. Phone/Fax

Practice location:
  • Phone: 757-561-0648
  • Fax:
Mailing address:
  • Phone: 757-561-0648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHANI MILLER
Title or Position: OWNER / AUTHORIZED OFFICIAL
Credential:
Phone: 757-541-0648