| Envision Wellness Inc | |
|
5655 Lindero Canyon Rd Ste 326 Westlake Village CA 91362-4051 | |
| (058) 569-1228 | |
| Not Available |
| Full Name | Envision Wellness Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5655 Lindero Canyon Rd Ste 326, Westlake Village, California |
| Authorized Official Name and Position | Lital Diament (CEO) |
| Authorized Official Contact | 8185192815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Wellness Inc 516 Winncastle St Simi Valley CA 93065-0619 Ph: (818) 519-2815 | Envision Wellness Inc 5655 Lindero Canyon Rd Ste 326 Westlake Village CA 91362-4051 Ph: (058) 569-1228 |
| NPI Number | 1528715869 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Certification Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528715869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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