Envision Life Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ENVISION LIFE COUNSELING, LLC

Practice address

4425 Plano Pkwy Ste 704
Carrollton, TX 75010-5031

Phone

(972) 587-6773

NPI assigned

Nov 14, 2021

Last updated

Nov 14, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suni Antony, LCSW-S, LCDCNPI 1053544999

Title

Owner

Phone

(908) 420-9054

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suni Antony, LCSW-S, LCDC

  • Clinical Social Worker
  • Carrollton, TX
  • NPI 1053544999
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636848000000",
    "number": "1538825567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LAKE FALLS TER",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104319",
            "telephone_number": "908-420-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PLANO PKWY STE 704",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750105031",
            "telephone_number": "972-587-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A",
        "authorized_official_last_name": "ANTONY",
        "authorized_official_first_name": "SUNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-420-9054",
        "authorized_official_credential": "LCSW-S, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justina Obiamaka Ene, MT (AMT)
• Engage Therapies, LLC
• Amy English, LPC-S
• Enjoy Your Life Family Services Inc (Masdon Professional Services)
• Daniel Elias Enriquez
• Envoy Hospice North LLC (Lifeway Hospice)
• Envy IV, LLC
• Jeremy Michael Epstein, MD
• Equinox DME LLC
• Erin Wiggins Occupational Therapy

• Mental Health Clinic/Center (Including Community Mental Health Center) in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.