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

Envision Wellness Medical Group LLC

Organization Psychiatry Physician · NPI 1710690912

Envision Wellness Medical Group LLC is a Psychiatry Physician in Columbia, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
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

4100 N Main St Ste 101
Columbia, SC 29203-5800
Phone: (803) 256-0101
Fax: (800) 854-3497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1710690912
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEnvision Wellness Medical Group LLC
Authorized official Lisa Roberts — Office Manager · (803) 256-0101
Other names Envision Wellness Medical Group Iop
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023
Mailing address4100 N Main St Ste 101, Columbia, SC 29203-5800

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