| Envision Therapy Services, Llc | |
|
1745 Hamilton Rd Ste 355 Okemos MI 48864-1954 | |
| (517) 721-1244 | |
| Not Available |
| Full Name | Envision Therapy Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1745 Hamilton Rd Ste 355, Okemos, Michigan |
| Authorized Official Name and Position | Barbara A Bohne (OWNER, THERAPIST) |
| Authorized Official Contact | 5177211244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Therapy Services, Llc 1745 Hamilton Rd Ste 355 Okemos MI 48864-1954 Ph: (517) 721-1244 | Envision Therapy Services, Llc 1745 Hamilton Rd Ste 355 Okemos MI 48864-1954 Ph: (517) 721-1244 |
| NPI Number | 1053920561 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/22/2020 |
| Medicare PECOS PAC ID | 4183035561 |
|---|---|
| Medicare Enrollment ID | O20201117001009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053920561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Barbara A Bohne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689631202 PECOS PAC ID: 0749208957 Enrollment ID: I20051107000345 |
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