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 provides Psychiatry Physician services 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.

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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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