Organization
ENVISION HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY LATRICE HASTIE (CEO/PRESIDENT)
(803) 236-7424
Entity
Organization
Contact information
Practice address
145 HIGHWAY 15-401 BYP W STE 9, BENNETTSVILLE, SC 29512-4359
(803) 236-7424
(843) 868-5020
Mailing address
145 HIGHWAY 15-401 BYP W STE 9, BENNETTSVILLE, SC 29512-4359
(843) 456-5045
(843) 868-5020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
246QL0900X
Laboratory Management Specialist/Technologist
—
—
246RP1900X
Phlebotomy Technician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/02/2010
Last updated
06/10/2024
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