| Embrace Healing And Wellness Therapy, Llc | |
|
1305 Cave Springs Estate Dr Saint Peters MO 63376-6531 | |
| (314) 482-6928 | |
| Not Available |
| Full Name | Embrace Healing And Wellness Therapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1305 Cave Springs Estate Dr, Saint Peters, Missouri |
| Authorized Official Name and Position | Latonia Coates-smith (MEMBER/OWNER) |
| Authorized Official Contact | 3144826928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Healing And Wellness Therapy, Llc 1305 Cave Springs Estate Dr Saint Peters MO 63376-6531 Ph: (314) 482-6928 | Embrace Healing And Wellness Therapy, Llc 1305 Cave Springs Estate Dr Saint Peters MO 63376-6531 Ph: (314) 482-6928 |
| NPI Number | 1861994121 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Medicare PECOS PAC ID | 3971865551 |
|---|---|
| Medicare Enrollment ID | O20190328002529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861994121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC001567704 (Missouri) | Primary |
| Provider Name | Latonia A Coates-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255677043 PECOS PAC ID: 3577834217 Enrollment ID: I20170731000146 |
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