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Organization
ENVISION BEHAVIORAL AND MENTAL HEALTH LLC
Active
Organization
ENVISION BEHAVIORAL AND MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZAD ZEB (PRESIDENT)
(631) 307-9892
Entity
Organization
Contact information
Practice address
450 WAVERLY AVE, BLDG. 3, SUITE 11, PATCHOGUE, NY 11772-1555
(631) 307-9892
Mailing address
450 WAVERLY AVE, BLDG. 2 SUITE 1, PATCHOGUE, NY 11772
(631) 307-9892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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