Provider Demographics
NPI:1750990446
Name:EMBRACING CHANGES COUNSELING AND COACHING SERVICES LLC
Entity type:Organization
Organization Name:EMBRACING CHANGES COUNSELING AND COACHING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES-MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-900-0256
Mailing Address - Street 1:10940 N 56TH ST STE 206
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-3005
Mailing Address - Country:US
Mailing Address - Phone:813-900-0256
Mailing Address - Fax:
Practice Address - Street 1:10940 N 56TH ST STE 206
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-3005
Practice Address - Country:US
Practice Address - Phone:813-900-0256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty