EMBRACE TO EMPOWER WELLNESS CENTER (NPI# 1548775273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548775273 |
| Entity Type | Organization |
| Organization Name | EMBRACE TO EMPOWER WELLNESS CENTER |
| Practice Address |
4720 Cleveland Heights Blvd Ste 305 Lakeland FL 33813-2246 |
| Practice Telephone | 8639375599 |
| Practice Fax Number | 8638165403 |
| Mailing Telephone | 8639375599 |
| Mailing Fax Number | 8638165403 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | LATAMIA M WHITE-GREEN (PSYCHIATRIST) |
| Authorized Official Telephone | 8639375599 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
4720 CLEVELAND HEIGHTS BLVD STE 305 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376748269 | Wallace E. Combs | Psychiatry & Neurology | 5325 Woodhaven Ln, Lakeland, FL 33813-2657 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
| 1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
| 1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
| 1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
| 1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
| 1851785323 | Javier Reyes | Psychiatry & Neurology | 2500 Nw 107th Ave Ste 102, Doral, FL 33172-5923 | 2015-03-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.