VISIONARY VANGUARD GROUP NPI 1780931469

NPI Information

NPI: 1780931469
Provider Name: VISIONARY VANGUARD GROUP
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1200 OAKLEY SEAVER DR
SUITE 203
CLERMONT, FL
ZIP 34711
Phone: (407) 314-5373
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VISIONARY VANGUARD GROUP is a mental health counselor in Clermont, FL. VISIONARY VANGUARD GROUP NPI is 1780931469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 OAKLEY SEAVER DR
SUITE 203
CLERMONT, FL
ZIP 34711-958
Phone: (407) 314-5373
Fax: (888) 587-1421

The provider's authorized official is Stephan E. Brown .
The authorized official title is President & Ceo and has the following contact phone number (407) 497-0327.

The enumeration date for this NPI number is 8/13/2012 and was last updated on 8/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH6078	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	NCC #54428		No
3	101YM0800X	Counselor	Mental Health	NCC #48936		No
4	103K00000X	Behavior Analyst		0000077	FLORIDA	No
5	101YM0800X	Counselor	Mental Health	MH6575	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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