Organization
ENVISION WELLNESS LLC
Active
Organization
ENVISION WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY HARRIS LPC-MHSP (MEMBER)
(901) 846-0603
Entity
Organization
Contact information
Practice address
4387 BRADCREST CV, MEMPHIS, TN 38128-1801
(901) 846-0603
Mailing address
7310 CENTRALIA RD UNIT 432, ELLENDALE, TN 38029-0170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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