Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Envision Behavioral Health PLLC

Organization Psychiatry Physician · NPI 1689165508

Envision Behavioral Health PLLC is a Psychiatry Physician in Clemmons, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2554 Lewisville Clemmons Rd Ste 207
Clemmons, NC 27012-9752
Phone: (304) 617-4337
Fax: (339) 207-0143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2016-01870 (NC)

Record details

NPI number1689165508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Derreberry — Managing Member · (304) 617-4337
NPI enumeratedMay 25, 2018
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address100 Stadium Oaks Dr Ste B, Clemmons, NC 27012-8961

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