Active NPI
Embrace to Empower Wellness Center
- Child & Adolescent Psychiatry Physician
- Lakeland, FL
National Provider Identifier
1548775273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- 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, 2017
- 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
- Latamia M White-Green, MD
- Title
- Psychiatrist
- Phone
- (863) 937-5599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.