| Embrace Life, Llc | |
|
238 Toluca Rd Stafford VA 22556-1852 | |
| (917) 515-7884 | |
| Not Available |
| Full Name | Embrace Life, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 238 Toluca Rd, Stafford, Virginia |
| Authorized Official Name and Position | Tracy Christine Perl (OWNER) |
| Authorized Official Contact | 9175157884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Life, Llc 238 Toluca Rd Stafford VA 22556-1852 Ph: (917) 515-7884 | Embrace Life, Llc 238 Toluca Rd Stafford VA 22556-1852 Ph: (917) 515-7884 |
| NPI Number | 1114464526 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114464526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701005883 (Virginia) | Primary |
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