| Loving Embodiment Llc | |
|
624 E Main St Tucumcari NM 88401-2250 | |
| (505) 307-6476 | |
| Not Available |
| Full Name | Loving Embodiment Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 624 E Main St, Tucumcari, New Mexico |
| Authorized Official Name and Position | Corrianne Broner (OWNER, HEAD THERAPIST) |
| Authorized Official Contact | 5053076476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loving Embodiment Llc Po Box 107 Tucumcari NM 88401-0107 Ph: (505) 307-6476 | Loving Embodiment Llc 624 E Main St Tucumcari NM 88401-2250 Ph: (505) 307-6476 |
| NPI Number | 1386468577 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 08/18/2025 |
| Certification Date | 08/18/2025 |
| Medicare PECOS PAC ID | 7012437924 |
|---|---|
| Medicare Enrollment ID | O20250221003563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386468577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Corrianne H Broner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861727992 PECOS PAC ID: 8921528837 Enrollment ID: I20250221003566 |
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