| NPI | 1598401853 |
|---|---|
| Other Name | ENVISION MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LEONIE ANN SISTRAT Owner 786-261-5851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |