| Envizion Therapeutic Services Llc | |
|
20535 Nw 2nd Ave Ste 204 Miami FL 33169-2547 | |
| (321) 344-4901 | |
| Not Available |
| Full Name | Envizion Therapeutic Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 20535 Nw 2nd Ave Ste 204, Miami, Florida |
| Authorized Official Name and Position | Tamara Harris (LCSW) |
| Authorized Official Contact | 3213444901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envizion Therapeutic Services Llc 4651 Babcock St Ne Ste 18 Palm Bay FL 32905-2808 Ph: (321) 344-4901 | Envizion Therapeutic Services Llc 20535 Nw 2nd Ave Ste 204 Miami FL 33169-2547 Ph: (321) 344-4901 |
| NPI Number | 1649941725 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649941725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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