Active NPI
Embrace Wellness Center LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- EMBRACE WELLNESS CENTER LLC
- Practice address
- 985 Seaway Dr
Fort Pierce, FL 34949-2744 - Phone
- (772) 577-1697
- NPI assigned
- Aug 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John S. Wilks-Young, LMHC
- Title
- Clinical Director/Ceo
- Phone
- (772) 577-0405
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
985 Seaway Dr
Fort Pierce, FL 34949-2744
Mailing address
985 Seaway Dr
Fort Pierce, FL 34949-2744
Phone (772) 577-1697
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2311199 | Embrace Wellness Center LLC | Certificate of waiver | Sep 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
985 Seaway Dr
Fort Pierce, FL 34949
Phone (407) 545-1258
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fort Pierce, FL
- NPI 1245874312
-
- Addiction (Substance Use Disorder) Counselor
- Fort Pierce, FL
- NPI 1851935886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1124851118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 SEAWAY DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349492744",
"telephone_number": "772-577-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 SEAWAY DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349492744",
"telephone_number": "772-577-1697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBRACE WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "WILKS-YOUNG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/CEO",
"authorized_official_telephone_number": "772-577-0405",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.