# ENVISION IT COUNSELING AND COACHING SERVICES

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

## Provider details

- **NPI number:** 1205138187
- **Authorized official:** MRS. BATONYA RANEL MCCULLOUGH (CEO)
- **Authorized official phone:** (704) 631-6818

## Contact information

- **Practice address:** 329 FRANK DR, CHARLOTTE, NC 28215-2111
- **Practice address phone:** (704) 631-6818
- **Mailing address:** 329 FRANK DR, CHARLOTTE, NC 28215-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |

## Other

- **Enumeration date:** 11/24/2010
- **Last updated:** 11/24/2010