| Embodied Essence, Pllc | |
|
421 21st Ave Longmont CO 80501-1469 | |
| (720) 772-1606 | |
| Not Available |
| Full Name | Embodied Essence, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 421 21st Ave, Longmont, Colorado |
| Authorized Official Name and Position | Leah Staller (OWNER) |
| Authorized Official Contact | 7207721606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Essence, Pllc 3587 Nyland Way Lafayette CO 80026-8946 Ph: (720) 772-1606 | Embodied Essence, Pllc 421 21st Ave Longmont CO 80501-1469 Ph: (720) 772-1606 |
| NPI Number | 1275415184 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275415184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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