Envision Behavioral Health Pllc
NPI #1689165508 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1689165508
- Entity Type
- Organization
- Organization Name
- Envision Behavioral Health Pllc
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- May 25, 2018
- Last Updated
- Jun 10, 2020
Practice Location
- Address
- 2554 LEWISVILLE CLEMMONS RD STE 207
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-9752
- Phone
- (304) 617-4337
Authorized Official
- Name
- JESSICA CIPOLETTI DERREBERRY, MD
- Title
- MANAGING MEMBER
- Phone
- (304) 617-4337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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