Provider Demographics
NPI:1265818249
Name:EMBRACE RECOVERY AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:EMBRACE RECOVERY AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLAH CASBEER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S, LICDC-CS
Authorized Official - Phone:513-508-3728
Mailing Address - Street 1:11440 HAMILTON AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-6103
Mailing Address - Country:US
Mailing Address - Phone:513-648-9596
Mailing Address - Fax:513-648-9586
Practice Address - Street 1:11440 HAMILTON AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-6103
Practice Address - Country:US
Practice Address - Phone:513-648-9596
Practice Address - Fax:513-648-9586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0007825-SUPV101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty