Provider Demographics
NPI:1669342119
Name:EMBODY MIND LLC
Entity type:Organization
Organization Name:EMBODY MIND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LGPC
Authorized Official - Phone:410-301-8727
Mailing Address - Street 1:10129 CHARINGTON RD
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3317
Mailing Address - Country:US
Mailing Address - Phone:410-301-8727
Mailing Address - Fax:
Practice Address - Street 1:10129 CHARINGTON RD
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3317
Practice Address - Country:US
Practice Address - Phone:410-301-8727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)