Provider Demographics
NPI:1376128496
Name:TRUEMBRACE THERAPY, PLLC
Entity Type:Organization
Organization Name:TRUEMBRACE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-372-8272
Mailing Address - Street 1:9155 SCHAEFFER ROAD
Mailing Address - Street 2:UNIT 1304
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-1278
Mailing Address - Country:US
Mailing Address - Phone:210-372-8272
Mailing Address - Fax:
Practice Address - Street 1:515 ERICA
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-1278
Practice Address - Country:US
Practice Address - Phone:210-383-6068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health