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General NPI Number Information
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NPI Number | 1336802883
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Entity Type | Organization
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Legal Business Name | VISION'S OF THERAPY, LLC
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 2503 S LINDEN RD STE 20
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City | FLINT
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State | MI
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Zip | 48532-5445
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Country | US
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Telephone | 810-836-3995
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Fax |
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Provider Business Mailing Address
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Address Line | 2503 S LINDEN RD SUITE 20
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City | FLINT
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State | MI
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Zip | 48532-5462
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Country | US
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Telephone | 810-730-1721
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Fax | 810-652-6123
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Authorized Official
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Title or Position | LIMITED LICENSED COUNSELOR LICENSE
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Name | MS. CLAUDETTE HAIRSTON
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Credential | LLPC
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Telephone | 810-730-1721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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