MEDICARE: VISION BEHAVIORAL HEALTH SERVICES

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	2084P0800X	Psychiatry Physician	200201030	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790004208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION BEHAVIORAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	495 ARBOR HILL RD
Second Line	:	SUITE E
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-3374
Country	:	US
Telephone Number	:	336-992-0429
Fax Number	:	336-993-3709

Provider Business Practice Location Address
First Line	:	495 ARBOR HILL RD
Second Line	:	SUITE E
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-3374
Country	:	US
Telephone Number	:	336-992-0429
Fax Number	:	336-993-3709

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MS. SHARON ELIZABETH GARRETT
Credential	:	M.ED.
Telephone Number	:	336-992-0429

Provider Enumeration Date	:	05/24/2010
Last Update Date	:	05/24/2010

Similar Medicare Providers

1255501649 — VISION BEHAVIORAL HEALTH SERVICES,LLC
Practice Location Address:

495 ARBOR HILL RD , SUITE E
KERNERSVILLE, NC
27284-3374

Practice Phone: 336-992-0429
Practice Fax: 336-993-3709

1720601610 — TAYLOR BAILEY BECK DNP, FNP-C
Practice Location Address:

1635 NC HIGHWAY 66 S STE 210
KERNERSVILLE, NC
27284-3886

Practice Phone: 336-992-1770
Practice Fax:

1376068320 — ZELDA FLEMING FNP-BC
Practice Location Address:

291 BROAD ST
KERNERSVILLE, NC
27284-2932

Practice Phone: 336-993-8181
Practice Fax:

1366072365 — MRS. JOY LYNN JESSUP DNP, APRN, FNP-BC
Practice Location Address:

1635 NC HIGHWAY 66 S
KERNERSVILLE, NC
27284-3854

Practice Phone: 336-922-5169
Practice Fax:

1346576642 — THERESHA MCNEILL LCSW
Practice Location Address:

4565 VERNON FARMS BLVD
KERNERSVILLE, NC
27284-0130

Practice Phone: 336-255-3367
Practice Fax:

1598106171 — MS. CYNTHIA RENA JONES MS,CRC, LCMHC
Practice Location Address:

280 BROAD ST STE E
KERNERSVILLE, NC
27284-2948

Practice Phone: 336-277-6050
Practice Fax: 336-992-3141

Directions to “VISION BEHAVIORAL HEALTH SERVICES ” Practice Location

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