ENVISION WELLNESS MEDICAL GROUP LLC NPI 1043832157

NPI Information

ENVISION WELLNESS MEDICAL GROUP LLC is a child and adolescent psychiatry psychiatry neurology in Columbia, SC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. ENVISION WELLNESS MEDICAL GROUP LLC NPI is 1043832157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4100 N MAIN ST STE 101
COLUMBIA, SC
ZIP 29203-800
Phone: (803) 256-0101
Fax: (800) 854-3497

The provider's authorized official is Ayanna Swinton Jamison .
The authorized official title is Dr/owner and has the following contact phone number (803) 256-0101.

The enumeration date for this NPI number is 5/12/2020 and was last updated on 5/12/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.