OrganizationActive
Envision Wellness Medical Group LLC
NPI 1043832157 · Child & Adolescent Psychiatry Physician · Columbia, SC
Provider details
- NPI number
- 1043832157
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ayanna Jamison, Dr/Owner(803) 256-0101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4100 N Main St Ste 101
Columbia, SC 29203-5800
Phone: (803) 256-0101
Fax: (800) 854-3497
Approximate (ZIP-level) locationGet directions
Mailing address
4100 N Main St Ste 101
Columbia, SC 29203-5800
Registry dates
- Enumerated
- 2020-05-12
- Last updated
- 2020-05-12
- Certified
- 2020-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.