Provider Demographics
NPI:1487330007
Name:ENVISION BALANCE COUNSELING & CONSULTING PLLC
Entity type:Organization
Organization Name:ENVISION BALANCE COUNSELING & CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-484-1790
Mailing Address - Street 1:149 WEAVER BLVD # 129
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8345
Mailing Address - Country:US
Mailing Address - Phone:828-484-1790
Mailing Address - Fax:
Practice Address - Street 1:149 WEAVER BLVD # 129
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-8345
Practice Address - Country:US
Practice Address - Phone:828-484-1790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health