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ENVISIONS OF LIFE LLC
NPI 1104179555
Nurse Practitioner - Psychiatric/Mental Health in Greensboro, NC

Active since October 23, 2012
5 CENTERVIEW DRIVE, SUITE 110, GREENSBORO, NC 27407(336) 887-0708(336) 887-1085 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Envisions Of Life Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENVISIONS OF LIFE LLC (NPI 1104179555) is a healthcare organization registered as a psychiatric/mental health in Greensboro, North Carolina and active in the NPI registry since October 2012. The organization lists Tomeko Michelle Moore, President, as its authorized official.

NPPES Registry Identity

NPI1104179555
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameENVISIONS OF LIFE LLC
Location Address5 CENTERVIEW DRIVE, SUITE 110Greensboro, NC 27407-3709
Mailing Address5 Centerview Dr., Suite 110Greensboro, NC 27407-3709 · (336) 887-0708 · Fax (336) 887-1085
Phone(336) 887-0708
Fax(336) 887-1085
Organization SubpartNo
Authorized OfficialTomeko Michelle MoorePresident · (336) 887-0708
Enumeration DateOctober 23, 2012
Last NPPES UpdateMarch 25, 2015
✔ NPI 1104179555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
5 CENTERVIEW DRIVE, Greensboro, NC 27407
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Other Identifiers 1

Medicaid6006285NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENVISIONS OF LIFE LLC
Counselor (Mental Health)
5 CENTERVIEW DRIVE, SUITE 110
GREENSBORO, NC 27407
Guilford County (336) 887-0708
ENVISIONS OF LIFE LLC
Counselor (Professional)
5 CENTERVIEW DRIVE, SUITE 110
GREENSBORO, NC 27407
Guilford County (336) 887-0708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Envisions Of Life LLC's NPI number?

The NPI number for Envisions Of Life LLC is 1104179555. It was assigned to this organization in the NPPES registry on October 23, 2012.

Where is Envisions Of Life LLC located?

Envisions Of Life LLC is located at 5 Centerview Drive Suite 110, Greensboro, NC 27407. The listed phone number is (336) 887-0708.

What is Envisions Of Life LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Envisions Of Life LLC was last updated on March 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.