Organization
ENVISION SOLUTIONS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA LORAINE BLANCO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(910) 580-0594
Entity
Organization
Contact information
Practice address
4492 MIDDLETOWN DR, WAKE FOREST, NC 27587-4187
(910) 580-0594
Mailing address
PO BOX 549, WAKE FOREST, NC 27588-0549
(910) 580-0594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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