Provider Demographics
NPI:1033546635
Name:ENVISION EMPLOYMENT SOLUTIONS
Entity Type:Organization
Organization Name:ENVISION EMPLOYMENT SOLUTIONS
Other - Org Name:ENVISION SERVICE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENIESE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOYTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-702-4822
Mailing Address - Street 1:3807 111TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-0899
Mailing Address - Country:US
Mailing Address - Phone:806-702-4822
Mailing Address - Fax:
Practice Address - Street 1:3807 111TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-0899
Practice Address - Country:US
Practice Address - Phone:806-702-4822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management