Organization Active NPI

Embraced Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1699525139
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EMBRACED BEHAVIORAL HEALTH
Practice address
2054 E Edgewood Dr Ste 6
Lakeland, FL 33803-3640
Phone
(863) 999-1621
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Andrena Wright
Title
Owner
Phone
(863) 999-1621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2054 E Edgewood Dr Ste 6
Lakeland, FL 33803-3640

Mailing address

PO Box 484
Lakeland, FL 33802-0484

National Provider Directory

National Provider Directory

Locations

2054 E Edgewood Dr
Ste 6
Lakeland, FL 33803
Phone (863) 999-1621

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1699525139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338020484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 E EDGEWOOD DR STE 6",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033640",
            "telephone_number": "863-999-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACED BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ANDRENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-999-1621"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "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 Mar 26, 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.