Provider Demographics
NPI:1184516619
Name:MINDFUL EMBRACE THERAPY LLC
Entity type:Organization
Organization Name:MINDFUL EMBRACE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SEMMES JR
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMHC
Authorized Official - Phone:765-239-9711
Mailing Address - Street 1:616 PADEN DR # 444
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:IN
Mailing Address - Zip Code:47941-8029
Mailing Address - Country:US
Mailing Address - Phone:765-239-9711
Mailing Address - Fax:
Practice Address - Street 1:616 PADEN DR # 444
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:IN
Practice Address - Zip Code:47941-8029
Practice Address - Country:US
Practice Address - Phone:765-239-9711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty