| Embodied Practice, Llc | |
|
600 University Blvd Bldg 7 Ste 5 Pensacola FL 32504 | |
| (850) 390-4213 | |
| Not Available |
| Full Name | Embodied Practice, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 600 University Blvd, Pensacola, Florida |
| Authorized Official Name and Position | Lauren Soutullo (OWNER) |
| Authorized Official Contact | 8503904213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Practice, Llc 1759 Waterbury Way Cantonment FL 32533-8414 Ph: () - | Embodied Practice, Llc 600 University Blvd Bldg 7 Ste 5 Pensacola FL 32504 Ph: (850) 390-4213 |
| NPI Number | 1245063304 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245063304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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