ENVISION ONE OUTPATIENT SERVICES LLC NPI 1336542596

NPI Information

NPI: 1336542596
Provider Name: ENVISION ONE OUTPATIENT SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
15 GOODRICH AVE
PETERSBURG, VA
ZIP 23805
Phone: (804) 862-8300
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ENVISION ONE OUTPATIENT SERVICES, LLC is a mental health counselor in Petersburg, VA. ENVISION ONE OUTPATIENT SERVICES, LLC NPI is 1336542596. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15 GOODRICH AVE
PETERSBURG, VA
ZIP 23805-119
Phone: (804) 862-8300
Fax: (804) 862-8302

The provider's authorized official is Angela Jones .
The authorized official title is President/ceo and has the following contact phone number (804) 862-8300.

The enumeration date for this NPI number is 10/2/2014 and was last updated on 11/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YP2500X	Counselor	Professional	No
3	106H00000X	Marriage & Family Therapist		No
4	1041C0700X	Social Worker	Clinical	No
5	104100000X	Social Worker		No
6	101YM0800X	Counselor	Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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