Provider Demographics
NPI:1427867647
Name:EMBRACE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:EMBRACE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:NATASHA
Authorized Official - Last Name:COULTER
Authorized Official - Suffix:
Authorized Official - Credentials:LLC
Authorized Official - Phone:810-447-4642
Mailing Address - Street 1:2721 BARTH ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-7365
Mailing Address - Country:US
Mailing Address - Phone:810-447-4642
Mailing Address - Fax:
Practice Address - Street 1:3500 FLUSHING RD SUITE 230
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504
Practice Address - Country:US
Practice Address - Phone:810-447-4642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty