Provider Demographics
NPI:1487471728
Name:EMBRACE YOURSELF PSYCHOTHERAPY
Entity type:Organization
Organization Name:EMBRACE YOURSELF PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:661-972-6740
Mailing Address - Street 1:260 MAPLE CT STE 220
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3565
Mailing Address - Country:US
Mailing Address - Phone:661-972-6740
Mailing Address - Fax:
Practice Address - Street 1:260 MAPLE CT STE 220
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3565
Practice Address - Country:US
Practice Address - Phone:661-972-6740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty