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1245063304
EMBODIED PRACTICE, LLC
PENSACOLA, FL
NPI
1245063304
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Entity Type
Organization
Authorized Contact
LAUREN SOUTULLO
Owner
850-390-4213
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-23
Last Update Date
2025-01-03
Business Address
EMBODIED PRACTICE, LLC
4300 BAYOU BLVD STE 25B
PENSACOLA, FL 32503-2671
Phone number: 850-390-4213
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Mailing Address
EMBODIED PRACTICE, LLC
4300 BAYOU BLVD STE 25B
PENSACOLA, FL 32503-2671
Phone number: 850-390-4213
Copy
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