Organization
ENVISION LIFE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNI ANTONY LCSW-S, LCDC (OWNER)
(908) 420-9054
Entity
Organization
Contact information
Practice address
4425 PLANO PKWY STE 704, CARROLLTON, TX 75010-5031
(972) 587-6773
Mailing address
1405 LAKE FALLS TER, CARROLLTON, TX 75010-4319
(908) 420-9054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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