# ENVISIONS OF LIFE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013261957
- **Authorized official:** TOMEKO MICHELLE MOORE (PRESIDENTE)
- **Authorized official phone:** (336) 887-0708

## Contact information

- **Practice address:** 5 CENTERVIEW DRIVE, SUITE 110, GREENSBORO, NC 27407-3709
- **Practice address phone:** (336) 887-0708
- **Practice address fax:** (336) 887-1085
- **Mailing address:** 5 CENTERVIEW DRIVE, SUITE 110, GREENSBORO, NC 27407-3079
- **Mailing address phone:** (336) 887-0708
- **Mailing address fax:** (336) 887-1085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NC | — |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 03/25/2015