ENVISION WELLNESS LLC (NPI# 1245876804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245876804 |
| Entity Type | Organization |
| Organization Name | ENVISION WELLNESS LLC |
| Practice Address |
5887 Glenridge Dr Ste 230 Sandy Springs GA 30328-9929 |
| Mailing Address |
2905 E Point St # 640095 East Point GA 30344-4202 |
| Practice Telephone | 6786162435 |
| Mailing Telephone | 7042813705 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | LAMECIA E EADDY (OWNER) |
| Authorized Official Telephone | 7042813705 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718184 | Envision Wellness LLC | Clinic/Center | 9175 E Tanque Verde Rd Ste 101, Tucson, AZ 85749-8820 | 2019-09-06 |
| 1730682253 | Envision Wellness LLC | Clinic/Center | 26677 W 12 Mile Rd Ste 136, Southfield, MI 48034-1514 | 2018-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Envision Wellness LLC | 2241 Hanford Rd. Suite102, Burlington, NC 27215-7031 |
| Street Address |
5887 GLENRIDGE DR STE 230 |
| City | SANDY SPRINGS |
| State | GA |
| Zip Code | 30328-9929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417204660 | Shira Koenigsberg | Social Worker | 5887 Glenridge Dr Ste 230, Sandy Springs, GA 30328-9929 | 2012-08-07 |
| 1568093748 | Tarshena Manning | Counselor | 5887 Glenridge Dr Ste 230, Sandy Springs, GA 30328-9929 | 2020-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538699442 | Robert Glynn Thomas IIi | Social Worker | 8046 Roswell Rd Ste 101c, Sandy Springs, GA 30350-3930 | 2017-06-13 |
| 1710430350 | Alexandra Pajak | Social Worker | 7320 Chattahoochee Bluff Dr, Sandy Springs, GA 30350-1072 | 2016-08-01 |
| 1427430701 | Brielle Rebekah Gould | Social Worker | 1100 Lake Hearn Drive Ne Ste's 250 & 500, Kaiser Permanente Sandy Springs Medical Office, Sandy Springs, GA 30342 | 2015-06-23 |
| 1417204660 | Shira Koenigsberg | Social Worker | 5887 Glenridge Dr Ste 230, Sandy Springs, GA 30328-9929 | 2012-08-07 |
| 1548401961 | Joanne D Raphael | Social Worker | 6100 Lake Forrest Dr Ste 450, Sandy Springs, GA 30328 | 2009-03-14 |
| 1760671929 | Helen Woodbury | Social Worker | 5920 Sandy Springs Cir, Sandy Springs, GA 30328-5937 | 2007-10-23 |
| 1972529824 | Yvonne Icilda Cole | Social Worker | 6810 Roswell Rd Ne Ste 2h, Sandy Springs, GA 30328-2445 | 2006-07-14 |
| 1548796865 | Kristina T Weems | Social Worker | 1100 Lake Hearn Dr, Sandy Springs, GA 30342-1523 | 2017-05-05 |
| 1063885523 | Saskia Ingrid Weiss | Social Worker | 270 Carpenter Dr, Suite 400, Sandy Springs, GA 30328-4931 | 2015-11-05 |
| 1114398260 | Magill Therapy LLC | Social Worker | 5885 Glenridge Dr, Suite 140, Sandy Springs, GA 30328-5512 | 2015-10-15 |
| Find all providers in SANDY SPRINGS | ||||
| City | SANDY SPRINGS |
| Zip Code | 30328 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.