Organization Active NPI

Embrace to Empower Wellness Center

  • Child & Adolescent Psychiatry Physician
  • Lakeland, FL
National Provider Identifier
1548775273
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
EMBRACE TO EMPOWER WELLNESS CENTER
Practice address
4720 Cleveland Heights Blvd Ste 305
Lakeland, FL 33813-2246
Phone
(863) 937-5599
Fax
(863) 816-5403
NPI assigned
Dec 4, 2017
Last updated
Dec 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Latamia M White-Green, MD
Title
Psychiatrist
Phone
(863) 937-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

4720 Cleveland Heights Blvd Ste 305
Lakeland, FL 33813-2246

Mailing address

4720 Cleveland Heights Blvd Ste 305
Lakeland, FL 33813-2246
Phone (863) 937-5599

National Provider Directory

National Provider Directory

Locations

4720 Cleveland Heights Blvd
Ste 305
Lakeland, FL 33813
Phone (863) 937-5599

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1548775273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 CLEVELAND HEIGHTS BLVD STE 305",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132246",
            "telephone_number": "863-937-5599",
            "fax_number": "863-816-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 CLEVELAND HEIGHTS BLVD STE 305",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132246",
            "telephone_number": "863-937-5599",
            "fax_number": "863-816-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE TO EMPOWER WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "WHITE-GREEN",
        "authorized_official_first_name": "LATAMIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "863-937-5599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.