Provider Demographics
NPI:1184089757
Name:PEOPLE WITH VISIONS GOING PLACES
Entity type:Organization
Organization Name:PEOPLE WITH VISIONS GOING PLACES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ALECEANDRIA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA, BA,MA,QMHS,
Authorized Official - Phone:614-843-5015
Mailing Address - Street 1:1607 CRAWFORD RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1511
Mailing Address - Country:US
Mailing Address - Phone:614-843-5015
Mailing Address - Fax:216-860-4502
Practice Address - Street 1:1607 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1511
Practice Address - Country:US
Practice Address - Phone:614-843-5015
Practice Address - Fax:216-860-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH050155251B00000X, 251V00000X, 302F00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or Charitable
No302F00000XManaged Care OrganizationsExclusive Provider Organization