| Loving Embodiment Llc | |
|
413 W Bremen St Silver City NM 88061-4812 | |
| (505) 307-6476 | |
| Not Available |
| Full Name | Loving Embodiment Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 413 W Bremen St, Silver City, New Mexico |
| Authorized Official Name and Position | Corrianne Broner (OWNER, HEAD THERAPIST) |
| Authorized Official Contact | 5053076476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loving Embodiment Llc Po Box 2811 Silver City NM 88062-2811 Ph: (505) 307-6476 | Loving Embodiment Llc 413 W Bremen St Silver City NM 88061-4812 Ph: (505) 307-6476 |
| NPI Number | 1386468577 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386468577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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