| Envision Wellness Medical Group | |
|
2601 Read St Suite I-7 Columbia SC 29204-7861 | |
| (803) 256-0101 | |
| (800) 854-3497 |
| Full Name | Envision Wellness Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2601 Read St, Columbia, South Carolina |
| Authorized Official Name and Position | Ashley Felder (OFFICE MANAGER) |
| Authorized Official Contact | 8032560101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Wellness Medical Group 2601 Read St Suite I-7 Columbia SC 29204-7861 Ph: (803) 256-0101 | Envision Wellness Medical Group 2601 Read St Suite I-7 Columbia SC 29204-7861 Ph: (803) 256-0101 |
| NPI Number | 1831511989 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831511989 | NPI | - | NPPES |
| 229434 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 22943 (South Carolina) | Primary |
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