Professional Alternative Visions LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PROFESSIONAL ALTERNATIVE VISIONS LLC

Practice address

215 Holloman Rd
Ahoskie, NC 27910-9655

Phone

(252) 396-5288

NPI assigned

Feb 10, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Ann Vinson, QMHP-C/ANPI 1831320894

Title

Director

Phone

(252) 396-5288

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Ann Vinson

  • Community/Behavioral Health Agency
  • Ahoskie, NC
  • NPI 1831320894

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1215475165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HOLLOMAN RD",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279109655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HOLLOMAN RD",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279109655",
            "telephone_number": "252-396-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Irvin Rd",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "NC",
            "postal_code": "278559621",
            "country_code": "US",
            "telephone_number": "252-396-5288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 SE Main St",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278015400",
            "country_code": "US",
            "telephone_number": "252-396-5288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL ALTERNATIVE VISIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-396-5288",
        "authorized_official_credential": "QMHP-C/A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shy'Kira Nicole Porter, LCSW-A
• Ian Scott Pratt, M.D.
• Pro Med Equipment and Supply Inc
• Pro-Med Equipment & Supply Inc.
• Proactive Therapy of North Carolina Inc
• Professional Family Health Service
• Provision Homecare, LLC
• Pruden Counseling Concepts PLLC
• Keischa Pruden, LPC
• Latoyia R Pugh, LCAS-A, LPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.