OrganizationInnervisions Behavioral Systems, IncCommunity/Behavioral HealthAgenciesPractice Address316 Millbrook Dr., Suite 109, Raleigh, NC 27609(919) 633-7775PECOS EnrollmentBased on the most recent information from CMS, provider Innervisions Behavioral Systems, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1962568469Provider TypeOrganizationFull NameInnervisions Behavioral Systems, IncSubpartNoEnumeration Date12/29/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address316 Millbrook Dr., Suite 109, Raleigh, NC 27609Phone(919) 633-7775FaxUnlisted FaxMailing LocationMailing Address316 Millbrook Dr., Suite 109, Raleigh, NC 27609Phone(919) 633-7775FaxUnlisted FaxAuthorized OfficialNameJones, Ahada (Therapist)Phone(919) 633-7775Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicense5203North CarolinaProvider IdentifiersIDDescriptionIssuerID6005785DescriptionMedicaidIssuerUnlistedNorth Carolina