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 provides Psychiatry Physician services 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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