Provider Demographics
NPI:1891440426
Name:EMBRACE THE HEAL, LLC
Entity Type:Organization
Organization Name:EMBRACE THE HEAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:DIANNA
Authorized Official - Last Name:EFFINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:405-850-3210
Mailing Address - Street 1:7010 MADISON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-8430
Mailing Address - Country:US
Mailing Address - Phone:405-850-3210
Mailing Address - Fax:
Practice Address - Street 1:7010 MADISON CREEK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-8430
Practice Address - Country:US
Practice Address - Phone:405-850-3210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service