Embrace Life Therapeutic Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3283 Issued in CT

Legal business name

EMBRACE LIFE THERAPEUTIC SERVICES, LLC

Practice address

81 W Main St Ste B
New Britain, CT 06051-4221

Phone

(860) 833-1919

NPI assigned

Feb 19, 2018

Last updated

Feb 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Jane Bezares, LPC, NCCNPI 1497255277

Title

License Professional Counselor

Phone

(860) 833-1919

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, and the practitioner matching its NPPES authorized official.

• Mary Jane Bezares, LPC

  • Professional Counselor
  • New Britain, CT
  • NPI 1497255277
  NPD (past) Authorized official

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1548760267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HILLSIDE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063821",
            "telephone_number": "860-833-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W MAIN ST STE B",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060514221",
            "telephone_number": "860-833-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE LIFE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "BEZARES",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "860-833-1919",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Eliades, RPH
• Nadege Elize, BA
• Colette Seter Elliott, PH.D.
• Laura Peyton Ellis, MD
• Wael Elmallah, MD, MSC, PHD
• Iyana Emgram
• Empowering Therapy Solutions, LLC
• Alfonso R Enriquez, M.D.
• Nejat Ahmed Eshetu, PHARMD
• Pierre Hubert Estime, DO

• Professional Counselor in New Britain, CT
• Providers in New Britain, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.