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Organization
ENVIZION THERAPEUTIC SERVICES LLC
Active
Organization
ENVIZION THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA HARRIS (LCSW)
(321) 344-4901
Entity
Organization
Contact information
Practice address
20535 NW 2ND AVE STE 204, MIAMI, FL 33169-2547
(321) 344-4901
Mailing address
4651 BABCOCK ST NE STE 18, PALM BAY, FL 32905-2808
(321) 344-4901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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