| Embracive Wellness Llc | |
|
1055 Taylor Ave Ste 302 Towson MD 21286-8334 | |
| (410) 622-4818 | |
| Not Available |
| Full Name | Embracive Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1055 Taylor Ave Ste 302, Towson, Maryland |
| Authorized Official Name and Position | Latanya Townsend (OWNER) |
| Authorized Official Contact | 4106224818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracive Wellness Llc 1055 Taylor Ave Ste 302 Towson MD 21286-8334 Ph: (410) 622-4818 | Embracive Wellness Llc 1055 Taylor Ave Ste 302 Towson MD 21286-8334 Ph: (410) 622-4818 |
| NPI Number | 1720702616 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Medicare PECOS PAC ID | 4688042948 |
|---|---|
| Medicare Enrollment ID | O20221118000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720702616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Latanya Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639591811 PECOS PAC ID: 5597133850 Enrollment ID: I20221118000307 |
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