MEDICARE: ENVISION WELLNESS MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	22943	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831511989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENVISION WELLNESS MEDICAL GROUP

Provider Business Mailing Address
First Line	:	2601 READ ST
Second Line	:	SUITE I-7
City	:	COLUMBIA
State	:	SC
Zip	:	29204-7861
Country	:	US
Telephone Number	:	803-256-0101
Fax Number	:	800-854-3497

Provider Business Practice Location Address
First Line	:	2601 READ ST
Second Line	:	SUITE I-7
City	:	COLUMBIA
State	:	SC
Zip	:	29204-7861
Country	:	US
Telephone Number	:	803-256-0101
Fax Number	:	800-854-3497

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. ASHLEY FELDER
Credential	:
Telephone Number	:	803-256-0101

Provider Enumeration Date	:	01/08/2014
Last Update Date	:	01/08/2014

Similar Medicare Providers

1992656128 — COURTEOUS CARE COORDINATION
Practice Location Address:

2601 READ ST
COLUMBIA, SC
29204-7861

Practice Phone: 803-413-9105
Practice Fax:

1053359851 — MRS. AYANNA SWINTON JAMISON M.D.
Practice Location Address:

2601 READ ST STE I-10
COLUMBIA, SC
29204-7861

Practice Phone: 803-256-0101
Practice Fax: 800-854-3497

1366683203 — FAFLI INC
Practice Location Address:

2601 READ ST , SUITE I-2
COLUMBIA, SC
29204-7861

Practice Phone: 803-834-7100
Practice Fax: 802-834-7102

1265709273 — MRS. TYANNA ASHLEY EVANS LISW-CP
Practice Location Address:

2601 READ ST STE I-7
COLUMBIA, SC
29204-7861

Practice Phone: 803-567-0064
Practice Fax:

1881077865 — TEACH 1 SAVE 1
Practice Location Address:

2601 READ ST STE I7
COLUMBIA, SC
29204-7861

Practice Phone: 864-310-8717
Practice Fax:

1710481452 — EVANS COUNSELING AND CONSULTING, LLC
Practice Location Address:

2601 READ ST STE I-7
COLUMBIA, SC
29204-7861

Practice Phone: 803-567-0064
Practice Fax:

Directions to “ENVISION WELLNESS MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.