Embrace Healing and Wellness Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC001567704 Issued in MO

Legal business name

EMBRACE HEALING AND WELLNESS THERAPY, LLC

Practice address

1305 Cave Springs Estate Dr
Saint Peters, MO 63376-6531

Phone

(314) 482-6928

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Latonia Coates-Smith, LCSWNPI 1255677043

Title

Member/Owner

Phone

(314) 482-6928

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latonia Ann Coates-Smith, MSW, LCSW

  • Clinical Social Worker
  • Olivette, MO
  • NPI 1255677043
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1861994121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CAVE SPRINGS ESTATE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766531",
            "telephone_number": "314-482-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 CAVE SPRINGS ESTATE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766531",
            "telephone_number": "314-482-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE HEALING AND WELLNESS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "COATES-SMITH",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "314-482-6928",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "LC001567704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori J Elliott, OD
• Sandra Ellis, RPH
• Cody Elmendorf, ATC
• Lisa L Eloff, RN, CPNP
• Megan Elschlager, CCC-SLP
• Empowered Choice Home & Community Services
• Endocrine Consultants LLC
• Amy Ennis
• Envision Rehab and Wellness LLC
• Jane Carol Eppel

• Community/Behavioral Health Agency in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.