ENVISION THERAPY DFW - NPI 1588438428 - Clinic/Center in Dallas, TX

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

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About Envision Therapy Dfw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENVISION THERAPY DFW (NPI 1588438428) is a healthcare organization registered as an adult mental health in Dallas, Texas and active in the NPI registry since November 2023. The organization lists Elizabeth Mcconnell, Ceo, Owner, as its authorized official.

NPPES Registry Identity

NPI1588438428

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameENVISION THERAPY DFW

Location Address5646 MILTON ST STE 525Dallas, TX 75206-3915

Mailing Address5646 Milton St Ste 525Dallas, TX 75206-3915 · (469) 447-8246

Phone(469) 447-8246

Organization SubpartNo

Authorized OfficialElizabeth McconnellCeo, Owner · (469) 447-8246

Enumeration DateNovember 10, 2023

NPPES CertifiedNovember 10, 2023

✔ NPI 1588438428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

5646 MILTON ST STE 525, Dallas, TX 75206

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2283734

Envision Imaging Old Town · Dallas, TX

Active · expires Jun 12, 2027

CLIA Number45D2283734

Laboratory TypeOutpatient Diag Imaging

Certificate Effective DateJune 13, 2025

Certificate Expiration DateJune 12, 2027

Laboratory DirectorWes Windham

Laboratory Phone(469) 648-3700

Laboratory LocationEnvision Imaging Old Town5500 Greenville Ave Suite 1100, Dallas, TX 75206

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALEB THORSHOV

Counselor (Professional)