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Envisionlifeservices,llc
NPI 1265966857 · Developmental Disabilities Clinic/Center · Tallahassee, FL
Provider details
- NPI number
- 1265966857
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philander Head, Owner(850) 510-0915
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
404 El Destinado Dr
Tallahassee, FL 32312-1607
Phone: (850) 510-0915
Street-level locationGet directions
Mailing address
Po Box 105
Tallahassee, FL 32302-0105
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2017-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.