Innervision Inc.

LBN: Innervision Inc.
Innervision Inc. is an health care organization with primary practice located at 1000 Baxter St , Charlotte NC 28204-2859. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Innervision Inc. can be contacted via phone (704) 377-5047, or through Nicholas, Cheryl Agnes via phone (704) 377-5047.

Contact Information

Primary practice address
1000 Baxter St Charlotte NC 28204-2859
Phone: (704) 377-5047
Fax: (704) 377-5043
Website:
Map and Directions
Authorized official contact:
Name: Nicholas, Cheryl Agnes PHD
Phone: (704) 377-5047

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL 060 1242 North Carolina

Profile Details

NPI number 1346505617
LBN Legal business name Innervision Inc.
DBA Doing business as
Authorized official Nicholas, Cheryl Agnes PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2012
Last updated Jul 11th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346505617 NPPES
North Carolina MEDICAID 8300613

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