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

Envision One Outpatient Services, LLC

Organization Counselor · NPI 1336542596

Envision One Outpatient Services, LLC is a Counselor in Petersburg, Virginia. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 Goodrich Ave
Petersburg, VA 23805-2119
Phone: (804) 862-8300
Fax: (804) 862-8302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Counselor Taxonomy 101Y00000X
Professional Counselor Taxonomy 101YP2500X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1336542596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Jones — President/Ceo · (804) 862-8300
NPI enumeratedOctober 2, 2014
Last updated in NPPESNovember 14, 2014
Mailing address15 Goodrich Ave, Petersburg, VA 23805-2119

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