Provider Demographics
NPI:1427629476
Name:EMBRACE HEALTH, INC.
Entity type:Organization
Organization Name:EMBRACE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:LASHENA
Authorized Official - Last Name:COBB-LUCIEN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC, AAHIVS
Authorized Official - Phone:407-259-4307
Mailing Address - Street 1:6220 S ORANGE BLOSSOM TRL STE 602
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4688
Mailing Address - Country:US
Mailing Address - Phone:407-259-4307
Mailing Address - Fax:734-800-3720
Practice Address - Street 1:6220 S ORANGE BLOSSOM TRL STE 602
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4688
Practice Address - Country:US
Practice Address - Phone:407-259-4307
Practice Address - Fax:734-800-3720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service