Provider Demographics
NPI:1043015969
Name:EMBRACE RECOVERY SUD SERVICES LLC
Entity type:Organization
Organization Name:EMBRACE RECOVERY SUD SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR /OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPPANEN-ARMIJO
Authorized Official - Suffix:
Authorized Official - Credentials:SUDP
Authorized Official - Phone:509-669-6574
Mailing Address - Street 1:131 S APPLE BLOSSOM DR UNIT 120
Mailing Address - Street 2:
Mailing Address - City:CHELAN
Mailing Address - State:WA
Mailing Address - Zip Code:98816-8827
Mailing Address - Country:US
Mailing Address - Phone:509-669-6574
Mailing Address - Fax:509-888-2432
Practice Address - Street 1:131 S APPLE BLOSSOM DR UNIT 120
Practice Address - Street 2:
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816-8827
Practice Address - Country:US
Practice Address - Phone:509-669-6574
Practice Address - Fax:509-888-2432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty