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ENVISIONLIFESERVICESLLC NPI 1265966857


NPI Information

NPI: 1265966857
Provider Name: ENVISIONLIFESERVICES,LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
404 EL DESTINADO DR
TALLAHASSEE, FL
ZIP 32312
Phone: (850) 510-0915
Get Directions

ENVISIONLIFESERVICES,LLC is a developmental disabilities clinic center in Tallahassee, FL. The provider is 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.). ENVISIONLIFESERVICES,LLC NPI is 1265966857. The provider is registered as an organization entity type.

The provider's business location address is:

404 EL DESTINADO DR
TALLAHASSEE, FL
ZIP 32312-607
Phone: (850) 510-0915

The provider's authorized official is Philander Carol Head .
The authorized official title is Owner and has the following contact phone number (850) 510-0915.

The enumeration date for this NPI number is 4/20/2017 and was last updated on 4/20/2017.


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 License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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

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