Embrace Mental Health

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

EMBRACE MENTAL HEALTH

Practice address

504 NE 4TH Ave
Grand Rapids, MN 55744-2820

Phone

(218) 244-6123

NPI assigned

Jan 8, 2019

Organization subpart

No

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

Authorized official

Name

Dana Leigh Dafoe Butler, LMFT

Title

Owner

Phone

(218) 244-6123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1730652124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 NE 4TH AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442820",
            "telephone_number": "218-244-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 NE 4TH AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442820",
            "telephone_number": "218-244-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LEIGH DAFOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-244-6123",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Eiden, RN
• Eldercircle
• Larry Vernon Elj, RN
• Ellen S. Teigland, L.P.,P.a.
• Jason Kirk Eller, D.C.
• Brenda S. Enright, NURSE PRACTITIONER
• Elizabeth Walsh Erickson, LADC
• Troy Dewayne Erickson
• Olivia Ann Erven, PA-C
• Essentia Health Surgery Centers-Minnesota LLC

• Marriage & Family Therapist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Marriage & Family Therapist in Minnesota

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