Organization Active NPI

Emberlife Wellness LLC

  • Mental Health Counselor
  • Terre Haute, IN
National Provider Identifier
1720922719
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMBERLIFE WELLNESS LLC
Practice address
3316 S 7TH St
Terre Haute, IN 47802-4015
Phone
(812) 249-0171
NPI assigned
Apr 18, 2026
Last updated
Apr 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Authorized official

Name
Mark Allen Gulley
Title
Owner/Ceo
Phone
(812) 249-0171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3316 S 7TH St
Terre Haute, IN 47802-4015

Mailing address

3316 S 7TH St
Terre Haute, IN 47802-4015
Phone (812) 249-0171

National Provider Directory

National Provider Directory

Locations

3316 S 7th St
Terre Haute, IN 47802
Phone (812) 249-0171

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1776470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776470400000",
    "number": "1720922719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024015",
            "telephone_number": "812-249-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024015",
            "telephone_number": "812-249-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBERLIFE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-18",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "812-249-0171"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; 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.