Organization
ENVISION MENTAL WELLNESS
Active
Other names
Envision Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LEONIE ANN SISTRAT APRN, PMHNP-BC (OWNER)
(786) 261-5851
Entity
Organization
Contact information
Practice address
950 S PINE ISLAND RD STE 150, PLANTATION, FL 33324-3918
(786) 261-5851
Mailing address
2051 NW 82ND AVE, PEMBROKE PINES, FL 33024-3512
(786) 261-5851
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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