Envision Wellness LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ENVISION WELLNESS LLC

Practice address

26677 W 12 Mile Rd Ste 136
Southfield, MI 48034-1514

Phone

(248) 990-6384

NPI assigned

Mar 11, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Althea D Smith, MENTAL HEALTH COUNSENPI 1871993840

Title

Therapist

Phone

(248) 990-6384

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Althea Smith, MENTAL HEALTH

  • Professional Counselor
  • Southfield, MI
  • NPI 1871993840
  NPD (past) Authorized official

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1730682253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26677 W 12 MILE RD STE 136",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341514",
            "telephone_number": "248-990-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26677 W 12 MILE RD STE 136",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341514",
            "telephone_number": "248-990-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "248-990-6384",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MENTAL HEALTH COUNSE"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Ennis, DPM
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• Qiao Ensminger
• Jo Elyn Ensroth, LPC
• Omid Entezami, PT
• Epic Health Pharmacy PLLC
• Epic Management, LLC
• Epp Michigan PLLC
• Angel Epps, LMSW
• Laurie Epstein Kach, MSW

• Adult Mental Health Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.