| Envision Therapy Solutions, Llc | |
|
5810 Shelby Oaks Dr Ste B Memphis TN 38134-7315 | |
| (931) 321-1097 | |
| Not Available |
| Full Name | Envision Therapy Solutions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5810 Shelby Oaks Dr Ste B, Memphis, Tennessee |
| Authorized Official Name and Position | Tawanna Y Ivey (THERAPIST) |
| Authorized Official Contact | 9313211097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Therapy Solutions, Llc 1033 Silo Dr Clarksville TN 37042-1676 Ph: (931) 321-1097 | Envision Therapy Solutions, Llc 5810 Shelby Oaks Dr Ste B Memphis TN 38134-7315 Ph: (931) 321-1097 |
| NPI Number | 1093435240 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 4385011931 |
|---|---|
| Medicare Enrollment ID | O20221110001591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093435240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tawanna Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740771237 PECOS PAC ID: 5294102844 Enrollment ID: I20221110002824 |
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