Provider Demographics
NPI:1578837761
Name:ENVISION FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:ENVISION FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS-BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-350-3020
Mailing Address - Street 1:500 E MAIN ST STE 1604
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2206
Mailing Address - Country:US
Mailing Address - Phone:917-406-6763
Mailing Address - Fax:
Practice Address - Street 1:500 E MAIN ST STE 1604
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2206
Practice Address - Country:US
Practice Address - Phone:757-350-3020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)