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ENVISION WELLNESS MEDICAL GROUP NPI 1831511989


NPI Information

NPI: 1831511989
Provider Name: ENVISION WELLNESS MEDICAL GROUP
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
2601 READ ST
SUITE I-7
COLUMBIA, SC
ZIP 29204
Phone: (803) 256-0101
Get Directions

ENVISION WELLNESS MEDICAL GROUP 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 NPI is 1831511989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2601 READ ST
SUITE I-7
COLUMBIA, SC
ZIP 29204-861
Phone: (803) 256-0101
Fax: (800) 854-3497

The provider's authorized official is Ashley Felder .
The authorized official title is Office Manager and has the following contact phone number (803) 256-0101.

The enumeration date for this NPI number is 1/8/2014 and was last updated on 1/8/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry22943SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AA11950281MEDICARE PINSOUTH CAROLINA
2229434MEDICAIDSOUTH CAROLINA

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: 4/28/2024

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