Provider Demographics
NPI:1619606480
Name:EMBODIED STRATEGIES LLC
Entity Type:Organization
Organization Name:EMBODIED STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DROLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-839-1477
Mailing Address - Street 1:729 15TH ST NW # 8F
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-2105
Mailing Address - Country:US
Mailing Address - Phone:240-839-1477
Mailing Address - Fax:
Practice Address - Street 1:729 15TH ST NW # 8F
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2105
Practice Address - Country:US
Practice Address - Phone:240-839-1477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty