Envizion Therapeutic Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ENVIZION THERAPEUTIC SERVICES LLC

Practice address

20535 NW 2ND Ave Ste 204
Miami, FL 33169-2547

Phone

(321) 344-4901

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Tamara Harris

Title

LCSW

Phone

(321) 344-4901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1649941725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 BABCOCK ST NE STE 18",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052808",
            "telephone_number": "321-344-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20535 NW 2ND AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692547",
            "telephone_number": "321-344-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVIZION THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "321-344-4901"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Enterline
• Envision Mindcare
• Envision Mobile Optical
• Envision Wellness Co.
• Envix Services Corp
• Envy South Florida Medical Center Corp
• Ep Cabrera Health Service LLC
• Ep Facility LLC
• Ep Medical Equipment Inc
• Ep Medical Equipment, Inc.

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.