Gifted Visions LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-051-167 Issued in NC

Legal business name

GIFTED VISIONS LLC

Practice address

148 Carrie Dr
Clayton, NC 27527-5731

Phone

(919) 585-6130

Fax

(919) 585-6130

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Shanicka Porter

Title

Executive Director

Phone

(919) 803-9392

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1568611440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 MAYBROOK CROSSING DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103296",
            "telephone_number": "919-803-9392",
            "fax_number": "919-585-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 CARRIE DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275275731",
            "telephone_number": "919-585-6130",
            "fax_number": "919-585-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED VISIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "SHANICKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-803-9392",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-051-167",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-051-166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Pediatric Therapy
• Donald Thomas Gentrup, PHARMD
• Megan Elizabeth George
• Joy E Gerasco, DMD, PHD
• Natalia Vasilyevna Ghidora, FNP
• Kaitlynn Elizabeth Gingras, MA, BCBA, LBA
• Monya Glass Jade
• Karen Jean Gleason, RD, LDN
• Brittany Rice Godwin
• Gold Star Pediatric Speech Therapy

• Emotionally Disturbed Childrens' Residential Treatment Facility in Clayton, NC
• Providers in Clayton, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.