Organization
ENVISION THERAPIES, LLC
Active
Other names
Envision Therapies, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY KENNERSON (SOLE MEMBER)
(860) 689-4222
Entity
Organization
Contact information
Practice address
50 FOUNDERS PLZ STE 202, EAST HARTFORD, CT 06108-3209
(860) 689-4222
Mailing address
2 LANTERN RIDGE RD, BEACON FALLS, CT 06403-1473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/31/2020
Last updated
08/14/2024
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