Provider Demographics
NPI:1376429696
Name:VISIONARIES OF LIVING IN COLOR, PLLC
Entity type:Organization
Organization Name:VISIONARIES OF LIVING IN COLOR, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-S, LMFT-S
Authorized Official - Phone:512-940-5566
Mailing Address - Street 1:1206 ROARING FLS
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-0038
Mailing Address - Country:US
Mailing Address - Phone:512-940-1168
Mailing Address - Fax:
Practice Address - Street 1:1206 ROARING FLS
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-0038
Practice Address - Country:US
Practice Address - Phone:512-940-1168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty