Organization Active NPI

Embrace and Evolve Therapy Service PLLC

  • Clinical Social Worker
  • Morrisville, NC
National Provider Identifier
1164397220
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMBRACE AND EVOLVE THERAPY SERVICE PLLC
Practice address
209 Michelangelo PL
Morrisville, NC 27560-5256
Phone
(904) 742-4399
NPI assigned
Oct 8, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Natasha C Corley, LCSWNPI 1285730168
Title
Ownder
Phone
(904) 742-4399

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

209 Michelangelo PL
Morrisville, NC 27560-5256

Mailing address

209 Michelangelo PL
Morrisville, NC 27560-5256
Phone (904) 742-4399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1164397220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MICHELANGELO PL",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605256",
            "telephone_number": "904-742-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MICHELANGELO PL",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605256",
            "telephone_number": "904-742-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE AND EVOLVE THERAPY SERVICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "904-742-4399",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.