ENVISIONLIFESERVICES,LLC


Address: 404 El Destinado Dr, Tallahassee, FL 32312-1607
Phone: 8505100915

ENVISIONLIFESERVICES,LLC (NPI# 1265966857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265966857
Entity Type Organization
Organization Name ENVISIONLIFESERVICES,LLC
Practice Address 404 El Destinado Dr
Tallahassee
FL 32312-1607
Mailing Address Po Box 105
Tallahassee
FL 32302-0105
Practice Telephone 8505100915
Mailing Telephone 8505100915
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Authorized Official Name MRS. PHILANDER CAROL HEAD (OWNER)
Authorized Official Telephone 8505100915
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Office Location

Street Address 404 EL DESTINADO DR
City TALLAHASSEE
State FL
Zip Code 32312-1607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447611546 Philander Carol Mccrayhead Behavioral Analyst 404 El Destinado Dr, Tallahassee, FL 32312-1607 2016-03-16
1114543568 United Impact, LLC Psychologist 404 El Destinado Dr, Tallahassee, FL 32312-1607 2020-06-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184274235 Jennifer Stinson Technician 10014 Journeys En, Tallahassee, FL 32312 2019-09-19
1528581766 Amanda Michele Chandler Counselor 2634 Capital Circle N.e., Tallahassee, FL 32312 2017-07-19
1902330871 Therese Melendez Recreation Therapist 9346 Buck Haven Trl, Tallahassee, FL 32312 2017-04-17
1104373240 Comfortable Care Dental Health Professionals, Pa Dentist 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 2016-09-07
1568819753 Kaydi Blackstock Specialist/Technologist 7200 Lawton Chiles Ln, Tallahassee, FL 32312 2016-05-18
1275994212 Tiffany Coleman Pharmacist 6680 Thomasville Road, Tallahassee, FL 32312 2016-03-18
1659743235 Psychological Center Community/Behavioral Health 8819 Minnow Creek Dr, Tallahassee, FL 32312 2015-10-22
1780098723 Andrew Bellebaum Dentist 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312 2014-06-18
1851714299 Hf Acupuncture and Chinese Medicine Center LLC Acupuncturist 1282 Timberlane Rd, Tallahassee, FL 32312 2014-01-21
1629326061 Ana E Raynolds Speech-Language Pathologist 3457 Cedarwood Trail, Tallahassee, FL 32312 2012-08-15
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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1871143982 Avail Health and Behavioral Solutions Clinic/Center 545 E Tennessee St Ste 100a, Tallahassee, FL 32308-4992 2019-09-19
1558890251 Peronica Rena Lindsey Clinic/Center 3983 Wilford Rd, Tallahassee, FL 32305-0500 2017-06-06

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1619578978 Mays Caring Home LLC Clinic/Center 103 Shaw Blvd, Fort Myers, FL 33905-2632 2020-11-03
1801497235 Precious Dreams Group Home #2, Inc. Clinic/Center 820 Nw 32nd Ave, Miami, FL 33125-3906 2020-11-03
1619578192 Elsyoff Care Center LLC Clinic/Center 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 2020-11-02
1417558099 Trnity Fields Inc Clinic/Center 12210 Netherfield Ct, Riverview, FL 33569-4117 2020-11-02
1891395430 Kettia Noel Clinic/Center 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 2020-10-30
1740880871 Salubrious Home Therapy Services, Inc Clinic/Center 3421 Sw 114th Ct, Miami, FL 33165-3330 2020-10-28
1407456718 Evelyne Charles Clinic/Center 3301 White Blossom Ln, Clermont, FL 34711-6366 2020-10-27
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Competitor

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City TALLAHASSEE
Zip Code 32312

Improve Information

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Dataset Information

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.

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