Active NPI
Embrace Therapy & Fitness
- Mental Health Counselor
- Spartanburg, SC
National Provider Identifier
1609558782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EMBRACE THERAPY & FITNESS
- Practice address
- 414 Dellwater Way
Spartanburg, SC 29306-5904 - Phone
- (803) 747-2899
- NPI assigned
- Aug 7, 2023
- 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
- Albertha L Shuler-Gibson, LPC
- Title
- Counselor
- Phone
- (803) 747-2899
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
414 Dellwater Way
Spartanburg, SC 29306-5904
Mailing address
1855 E Main St Ste 14 #252
Spartanburg, SC 29307
Phone (864) 209-1522
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1609558782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 E MAIN ST STE 14 #252",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29307",
"telephone_number": "864-209-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 DELLWATER WAY",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293065904",
"telephone_number": "803-747-2899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMBRACE THERAPY & FITNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "SHULER-GIBSON",
"authorized_official_first_name": "ALBERTHA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "803-747-2899",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.