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General NPI Number Information
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NPI Number | 1932881984
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Entity Type | Organization
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Legal Business Name | ENVISION PSYCHIATRY PLLC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1760 S TELEGRAPH RD STE 220
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0183
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Country | US
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Telephone | 248-587-7618
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Fax | 248-294-1451
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Provider Business Mailing Address
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Address Line | 43313 WOODWARD AVE # 1503
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-5007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARAH DELEON
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Credential | MD
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Telephone | 248-587-7618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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