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

1740012640 — TANNER CUTRELL
Practice Location Address:

770 PARK CENTRE DR
KERNERSVILLE, NC
27284-3598

Practice Phone: 704-780-4271
Practice Fax:

1538162243 — CATHY M JUDGE SWANEY MD
Practice Location Address:

1617 NC HWY 66 SOUTH , STE 101
KERNERSVILLE, NC
27284-3829

Practice Phone: 336-993-2224
Practice Fax: 336-993-0382

1164426730 — DR. KIRK A MURDOCK MD
Practice Location Address:

210 N MAIN ST , SUITE 144
KERNERSVILLE, NC
27284-4003

Practice Phone: 336-992-9637
Practice Fax: 336-992-9638

1649275710 — MARTHA CLAIRE K HENZLER PA-C
Practice Location Address:

280 BROAD ST , STE B
KERNERSVILLE, NC
27284-2948

Practice Phone: 336-993-2224
Practice Fax: 336-993-0382

1508865247 — MR. CHRISTOPHER SCOTT BRUMFIELD MD
Practice Location Address:

280 BROAD ST STE B , SUITE B
KERNERSVILLE, NC
27284-2948

Practice Phone: 336-992-2672
Practice Fax: 336-992-2674

Directions to “VISION BEHAVIORAL HEALTH SERVICES ” Practice Location

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