| Organization Name: | ENVISION A CHIROPRACTIC HEALING, LLC |
| NPI Number: | 1104269877 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBRAH K SWANBERG-GROSSMAN (OWNER/DIRECTOR) |
| Mailing Address: | 572 Maddox Dr Ste 205 East Ellijay |
| State: | GA US |
| Postal Code: | 305404000 |
| Phone Number: | 7066977463 |
| Fax Number: | |
| NPI Enumeration Date: | 04/12/2013 |
| NPI Last Update Date: | 04/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | CHIR002792 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |