ENVISION WELLNESS LLC (NPI# 1730682253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730682253 |
| Entity Type | Organization |
| Organization Name | ENVISION WELLNESS LLC |
| Practice Address |
26677 W 12 Mile Rd Ste 136 Southfield MI 48034-1514 |
| Practice Telephone | 2489906384 |
| Mailing Telephone | 2489906384 |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MS. ALTHEA D SMITH (THERAPIST) |
| Authorized Official Telephone | 2489906384 |
| Authorized Official Credential | MENTAL HEALTH CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876804 | Envision Wellness LLC | Social Worker | 5887 Glenridge Dr Ste 230, Sandy Springs, GA 30328-9929 | 2019-11-19 |
| 1538718184 | Envision Wellness LLC | Clinic/Center | 9175 E Tanque Verde Rd Ste 101, Tucson, AZ 85749-8820 | 2019-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Envision Wellness LLC | 2241 Hanford Rd. Suite102, Burlington, NC 27215-7031 |
| Street Address |
26677 W 12 MILE RD STE 136 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871993840 | Althea Smith | Counselor | 26677 W 12 Mile Rd Ste 136, Southfield, MI 48034-1514 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961064 | Turning Point Day Program Center | Clinic/Center | 19720 Dorset St, Southfield, MI 48075-3925 | 2020-04-22 |
| 1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
| 1730654161 | Sarah R. Williams, Lmsw, Pllc | Clinic/Center | 30555 Southfield Rd Ste 325, Southfield, MI 48076-7710 | 2018-10-12 |
| 1174014500 | Ceirra Adult Day Center | Clinic/Center | 16309 Harden Cir, Southfield, MI 48075-3022 | 2018-05-22 |
| 1518412733 | Restorative Counseling Service LLC | Clinic/Center | 29661 Red Leaf Dr, Southfield, MI 48076-2040 | 2016-08-17 |
| 1619350808 | Elmhurst Home Inc. | Clinic/Center | 28762 Franklin River Dr Apt 306, Southfield, MI 48034-5441 | 2015-07-07 |
| 1477736064 | Ekong Counseling Center | Clinic/Center | 29532 Southfield Rd, 101, Southfield, MI 48076-2023 | 2007-12-06 |
| 1174034839 | Atara Abramsky Phd Pllc | Clinic/Center | 17240 W 10 Mile Rd, Southfield, MI 48075-2949 | 2017-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1356941280 | Peaceful Pride Counseling LLC | Clinic/Center | 3916 Nottingham Ter, Midland, MI 48642-6217 | 2020-10-29 |
| 1205442142 | Comprehensive Health and Home Care Services LLC | Clinic/Center | 2505 Burton St Se Ste 102a, Grand Rapids, MI 49546-4804 | 2020-09-16 |
| 1316585367 | Valarie James, LLC | Clinic/Center | 1290 36th St Sw, Wyoming, MI 49509-3468 | 2019-12-19 |
| 1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
| 1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
| 1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
| 1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
| 1811545692 | Mindfulness Journey Counseling Pllc | Clinic/Center | 8406 Mabley Hill Rd, Fenton, MI 48430-9454 | 2019-08-26 |
| 1275189490 | Life's Work Clinic, Pllc | Clinic/Center | 733 E 8th St Ste 107, Traverse City, MI 49686-2665 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on ENVISION WELLNESS LLC.
| 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.