Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Envisions of Life LLC

Organization Professional Counselor · NPI 1104179555

Envisions of Life LLC provides Professional Counselor services in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Centerview Dr Ste 110
Greensboro, NC 27407-3709 Not confirmed with CMS for 11 years — call before visiting
Phone: (336) 887-0708
Fax: (336) 887-1085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X (NC)
Professional Counselor Taxonomy 101YP2500X (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X (NC)

Record details

NPI number1104179555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomeko Moore — President · (336) 887-0708
NPI enumeratedOctober 23, 2012
Last updated in NPPESMarch 25, 2015
Mailing address5 Centerview Dr., Suite 110, Greensboro, NC 27407-3709

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