Provider Demographics
NPI:1386280634
Name:EMBRACE SEXUAL WELLNESS, LLC.
Entity type:Organization
Organization Name:EMBRACE SEXUAL WELLNESS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LITNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-868-2018
Mailing Address - Street 1:3701 N RAVENSWOOD AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3878
Mailing Address - Country:US
Mailing Address - Phone:847-868-2018
Mailing Address - Fax:
Practice Address - Street 1:3701 N RAVENSWOOD AVE STE 302
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3878
Practice Address - Country:US
Practice Address - Phone:847-868-2018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health