Organization Active NPI

Embrace Self Love Therapy

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1699521872
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMBRACE SELF LOVE THERAPY
Practice address
3295 N Drinkwater Blvd Ste 10
Scottsdale, AZ 85251-6437
Phone
(602) 702-9307
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Roy Haddad, LPC
Title
Owner
Phone
(602) 702-9307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3295 N Drinkwater Blvd Ste 10
Scottsdale, AZ 85251-6437

Mailing address

250 W Juniper Ave Unit 56
Gilbert, AZ 85233-3939
Phone (952) 737-2420

National Provider Directory

National Provider Directory

Locations

3295 N Drinkwater Blvd
Ste 10
Scottsdale, AZ 85251
Phone (480) 210-3057

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1699521872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W JUNIPER AVE UNIT 56",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333939",
            "telephone_number": "952-737-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 N DRINKWATER BLVD STE 10",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516437",
            "telephone_number": "602-702-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE SELF LOVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-702-9307",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.