Organization
ENVISION THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATASHA NICOLE HAMILTON LCSW (FOUNDER/CEO)
(539) 209-1209
Entity
Organization
Contact information
Practice address
303 N BROADWAY ST, CLEVELAND, OK 74020-3421
(405) 584-2185
Mailing address
303 N BROADWAY ST, CLEVELAND, OK 74020-3421
(539) 209-1209
(539) 203-3672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/19/2023
Last updated
12/31/2024
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