| Envision Behavioral And Mental Health Llc | |
|
450 Waverly Ave Bldg. 3, Suite 11 Patchogue NY 11772-1555 | |
| (631) 307-9892 | |
| Not Available |
| Full Name | Envision Behavioral And Mental Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 450 Waverly Ave, Patchogue, New York |
| Authorized Official Name and Position | Shahzad Zeb (PRESIDENT) |
| Authorized Official Contact | 6313079892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Behavioral And Mental Health Llc 450 Waverly Ave Bldg. 2 Suite 1 Patchogue NY 11772 Ph: (631) 307-9892 | Envision Behavioral And Mental Health Llc 450 Waverly Ave Bldg. 3, Suite 11 Patchogue NY 11772-1555 Ph: (631) 307-9892 |
| NPI Number | 1083292973 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083292973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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