Provider Demographics
NPI:1972077972
Name:EMBRACE THERAPEUTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:EMBRACE THERAPEUTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAMITKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-568-0006
Mailing Address - Street 1:5250 CHALLEDON DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6304
Mailing Address - Country:US
Mailing Address - Phone:757-568-0006
Mailing Address - Fax:757-301-5313
Practice Address - Street 1:5250 CHALLEDON DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6304
Practice Address - Country:US
Practice Address - Phone:757-568-0006
Practice Address - Fax:757-301-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty