Organization
BRENDA MARVET BUTLER
Active
Other names
Future Vision/Vision House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA BUTLER (OWNER)
(336) 986-2544
Entity
Organization
Contact information
Practice address
441 EAST CLEMMONSVILLE RD, WINSTON-SALEM, NC 27107-2710
(336) 986-2544
(336) 725-8638
Mailing address
441 E CLEMMONSVILLE RD, WINSTON SALEM, NC 27107-5202
(336) 986-2544
(336) 725-8638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
—
NC
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
HC4288
NC
3747A0650X
Attendant Care Provider
HC4288
NC
3747P1801X
Personal Care Attendant
Primary
HC4288
NC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/09/2007
Last updated
02/14/2024
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