| Envision Counseling Services Llc | |
|
9030 58th Dr E Ste 103 Bradenton FL 34202-6108 | |
| (941) 567-6207 | |
| (941) 727-2741 |
| Full Name | Envision Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9030 58th Dr E, Bradenton, Florida |
| Authorized Official Name and Position | Ginger M Talerico (OWNER/MANAGER) |
| Authorized Official Contact | 9415676207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Counseling Services Llc 9030 58th Dr E Ste 103 Bradenton FL 34202-6108 Ph: (941) 567-6207 | Envision Counseling Services Llc 9030 58th Dr E Ste 103 Bradenton FL 34202-6108 Ph: (941) 567-6207 |
| NPI Number | 1629323423 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 07/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629323423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH8857 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | MH9081 (Florida) | Secondary |
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