Embodied Practice, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMBODIED PRACTICE, LLC

Practice address

4300 Bayou Blvd Ste 25B
Pensacola, FL 32503-2671

Phone

(850) 390-4213

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Lauren Soutullo, MS, LMHCNPI 1043087471

Title

Owner

Phone

(850) 390-4213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Soutullo, LMHC

  • Mental Health Counselor
  • Pensacola, FL
  • NPI 1043087471
  NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1245063304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BAYOU BLVD STE 25B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032671",
            "telephone_number": "850-390-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BAYOU BLVD STE 25B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032671",
            "telephone_number": "850-390-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "SOUTULLO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-390-4213",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton L Ellison, PA
• Eric Lamarr Elmore II, PMHNP, AGACNP
• Hinid Elomari, M.D.
• Lauren A Elsas, ARNP
• Dany Elsayah, MD
• Embrace Home Care Service
• Emerald Coast Acupuncture LLC
• Emerald Coast Assessment and Counseling Center, LLC
• Emerald Coast Center for Neurological Disorders
• Emerald Coast Center for Neurological Disorders

• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.