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Envision Wellness LLC

Social Worker, Clinical in Sandy Springs, GA. Organization (NPI-2).

NPI number1245876804
StatusActive
Last updated in NPPESNov 19, 2019

Details

NPI
1245876804
Entity type
Organization (NPI-2)
Legal business name
Envision Wellness LLC
Organization subpart
No
Enumeration date
Nov 19, 2019
Last updated
Nov 19, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

5887 Glenridge Dr Ste 230
Sandy Springs, GA 30328-9929

Phone 678-616-2435

Mailing address

2905 E Point St # 640095
East Point, GA 30344-4202

Phone 704-281-3705

Authorized official

Lamecia E Eaddy
Owner
7042813705

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Sandy Springs, GA

All 36 Clinical Social Worker providers in Sandy Springs · All 1,615 providers in Sandy Springs

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