Organization
ENVISION COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE ANNE WALLACE LCSW (OWNER)
(385) 399-3716
Entity
Organization
Contact information
Practice address
1735 W NORTH COVE RD, ROOSEVELT, UT 84066-9776
(385) 399-3716
Mailing address
1735 W NORTH COVE RD, ROOSEVELT, UT 84066-9776
(385) 399-3716
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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