Envision Therapy DFW

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ENVISION THERAPY DFW

Doing business as

Envision Therapy DFW

Practice address

5646 Milton St Ste 525
Dallas, TX 75206-3915

Phone

(469) 447-8246

NPI assigned

Nov 10, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth McConnell

Title

Ceo, Owner

Phone

(469) 447-8246

Specialties & licenses 2

Addresses

Other names 1

• Envision Therapy DFW Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Elizabeth Alderman, LMFT ASSOCIATE

  • Marriage & Family Therapist
  • Dallas, TX
  • NPI 1962272724
  NPD

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1588438428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 MILTON ST STE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063915",
            "telephone_number": "469-447-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5646 MILTON ST STE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063915",
            "telephone_number": "469-447-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION THERAPY DFW",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "469-447-8246",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Therapy DFW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ngozi Enwerem, MD
• Charles Udo Enyinna-Okeigbo, RN

• Adult Mental Health Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.