Embrace Your Life PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMBRACE YOUR LIFE PLLC

Practice address

731 N Weber St Ste 235
Colorado Springs, CO 80903-1019

Phone

(502) 715-1924

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Dina Buckey, LCSW

Title

Owner

Phone

(502) 715-1924

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1699233205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HUMMINGBIRD HOLLOW DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809198021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N WEBER ST STE 235",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031019",
            "telephone_number": "502-715-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE YOUR LIFE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "BUCKEY",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-715-1924",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexis Embry
• Jordyn Leanne Embry
• Mary E Embury, CRNFA
• Emdr Center of the Pikes Peak Region, PLLC
• Emdr Resolutions LLC

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.