Embrace Mental Health & Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMBRACE MENTAL HEALTH & WELLNESS LLC

Practice address

9844 Lori Rd Ste 101
Chesterfield, VA 23832-6691

Phone

(804) 615-5118

Fax

(804) 207-8831

NPI assigned

Nov 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Germaine Kelley-Pope, PMHNP-BC

Title

Owner

Phone

(804) 615-5118

Specialties & licenses 1

Addresses

Other names 1

• Embrace Mental Health & Wellness, LLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1093424988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10221 KRAUSE RD UNIT 2188",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238321288",
            "telephone_number": "804-615-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 LORI RD STE 101",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326691",
            "telephone_number": "804-615-5118",
            "fax_number": "804-207-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE MENTAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "KELLEY-POPE",
        "authorized_official_first_name": "GERMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-615-5118",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrace Mental Health & Wellness, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Embrace Mental Health & Wellness, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.