Provider Demographics
NPI:1447607536
Name:EMBRACE HEALTH, LLC
Entity Type:Organization
Organization Name:EMBRACE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:BOTWIN
Authorized Official - Last Name:MULCAHY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:484-821-3688
Mailing Address - Street 1:310 STOKE PARK RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9429
Mailing Address - Country:US
Mailing Address - Phone:484-821-3688
Mailing Address - Fax:610-625-0089
Practice Address - Street 1:310 STOKE PARK RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9429
Practice Address - Country:US
Practice Address - Phone:484-821-3688
Practice Address - Fax:610-625-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009647L207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty