| Envision Therapies Llc | |
|
303 N Broadway St Cleveland OK 74020-3421 | |
| (405) 584-2185 | |
| Not Available |
| Full Name | Envision Therapies Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 303 N Broadway St, Cleveland, Oklahoma |
| Authorized Official Name and Position | Natasha Nicole Hamilton (FOUNDER/CEO) |
| Authorized Official Contact | 5392091209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Therapies Llc 303 N Broadway St Cleveland OK 74020-3421 Ph: (539) 209-1209 | Envision Therapies Llc 303 N Broadway St Cleveland OK 74020-3421 Ph: (405) 584-2185 |
| NPI Number | 1790563963 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Medicare PECOS PAC ID | 9638605009 |
|---|---|
| Medicare Enrollment ID | O20241209002063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790563963 | NPI | - | NPPES |
| Provider Name | Natasha Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245734839 PECOS PAC ID: 1254744691 Enrollment ID: I20210104002158 |
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