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General NPI Number Information
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NPI Number | 1134077076
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Entity Type | Organization
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Legal Business Name | ENVISION SOLUTIONS THERAPY
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 4492 MIDDLETOWN DR
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City | WAKE FOREST
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State | NC
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Zip | 27587-4187
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Country | US
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Telephone | 910-580-0594
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 549
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City | WAKE FOREST
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State | NC
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Zip | 27588-0549
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Country | US
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Telephone | 910-580-0594
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | SAMANTHA LORAINE BLANCO
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Credential | LCSW
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Telephone | 910-580-0594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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