Embrace Experience Supportive Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMBRACE EXPERIENCE SUPPORTIVE SERVICES

Doing business as

Embrace Experience Supportive Services

Practice address

3651 Waterwheel SQ
Randallstown, MD 21133-2608

Phone

(443) 801-4726

NPI assigned

Sep 8, 2021

Last updated

Sep 8, 2021By 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

Nichelle McGirtNPI 1538837422

Title

Owner

Phone

(443) 801-4726

Specialties & licenses 1

Addresses

Other names 1

• Embrace Experience Supportive Services Doing business as

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.

• Nichelle McGirt

  • Addiction (Substance Use Disorder) Counselor
  • Randallstown, MD
  • NPI 1538837422
  NPD Authorized official

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1619646270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 WATERWHEEL SQ",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WATERWHEEL SQ",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332608",
            "telephone_number": "443-801-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE EXPERIENCE SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "MCGIRT",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-801-4726"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrace Experience Supportive Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli M Eimer, M.D.
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• Community/Behavioral Health Agency in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.