Organization
ENVISION WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMECIA E EADDY LCSW (OWNER)
(704) 281-3705
Entity
Organization
Contact information
Practice address
5887 GLENRIDGE DR STE 230, SANDY SPRINGS, GA 30328-9929
(678) 616-2435
Mailing address
2905 E POINT ST # 640095, EAST POINT, GA 30344-4202
(704) 281-3705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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