| Envision Counseling, Llc | |
|
7630 Little River Tpke Ste 601 Annandale VA 22003-2600 | |
| (703) 813-5982 | |
| (804) 237-0321 |
| Full Name | Envision Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7630 Little River Tpke Ste 601, Annandale, Virginia |
| Authorized Official Name and Position | Tammy Sue Oakes (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 8049807219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Counseling, Llc Po Box 11247 Richmond VA 23230-1247 Ph: (877) 566-9624 | Envision Counseling, Llc 7630 Little River Tpke Ste 601 Annandale VA 22003-2600 Ph: (703) 813-5982 |
| NPI Number | 1659978914 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659978914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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