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Organization
VISION BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization
VISION BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE DECARLO SPRUILL MSW LCSW RYT200 (CEO)
(919) 496-7781
Entity
Organization
Contact information
Practice address
104 N MAIN ST, LOUISBURG, NC 27549-2516
(919) 496-7781
(919) 496-1477
Mailing address
104 N MAIN ST, LOUISBURG, NC 27549-2516
(919) 496-7781
(919) 496-1477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301200
—
NC
Enumeration date
12/27/2006
Last updated
12/21/2016
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