Embrace The Wellness, Llc | |
256 Banyan Blvd Richmond KY 40475-4102 | |
(606) 599-6576 | |
Not Available |
Full Name | Embrace The Wellness, Llc |
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Speciality | Social Worker |
Location | 256 Banyan Blvd, Richmond, Kentucky |
Authorized Official Name and Position | Kelli Ann Stephens (OWNER / CLINICAL THERAPIST) |
Authorized Official Contact | 6065996576 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Embrace The Wellness, Llc 256 Banyan Blvd Richmond KY 40475-4102 Ph: (606) 599-6576 | Embrace The Wellness, Llc 256 Banyan Blvd Richmond KY 40475-4102 Ph: (606) 599-6576 |
NPI Number | 1477376861 |
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Provider Enumeration Date | 11/04/2024 |
Last Update Date | 11/04/2024 |
Certification Date | 11/04/2024 |
Medicare PECOS PAC ID | 8123540556 |
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Medicare Enrollment ID | O20250314002004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477376861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kelli Ann Stephens |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396496659 PECOS PAC ID: 2163963885 Enrollment ID: I20240923000645 |
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