Organization
NEW VISION THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN SANDIFER (CEO)
(336) 517-3770
Entity
Organization
Contact information
Practice address
810 WARREN ST, GREENSBORO, NC 27403-2340
(336) 517-3770
Mailing address
810 WARREN ST, GREENSBORO, NC 27403-2340
(336) 389-1413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C007317
NC
104100000X
Social Worker
Primary
C007317
NC
Other
Enumeration date
09/08/2016
Last updated
06/28/2023
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