Provider Demographics
NPI:1780471565
Name:EMBRACE YOUR HEALING THERAPY
Entity type:Organization
Organization Name:EMBRACE YOUR HEALING THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:NECOLE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:870-947-0441
Mailing Address - Street 1:2252 TOWER DR STE 108-163
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5764
Mailing Address - Country:US
Mailing Address - Phone:870-947-0441
Mailing Address - Fax:
Practice Address - Street 1:2252 TOWER DR STE 108-163
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5764
Practice Address - Country:US
Practice Address - Phone:870-947-0441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty