Embodied Practice, LLC

NPI #1245063304 in Pensacola, Florida

Provider Information

NPI Number: 1245063304
Entity Type: Organization
Organization Name: Embodied Practice, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 23, 2024
Last Updated: Jan 3, 2025

Practice Location

Address: 4300 BAYOU BLVD STE 25B
City: Pensacola
State: Florida
ZIP Code: 32503-2671
Phone: (850) 390-4213

Authorized Official

Name: LAUREN SOUTULLO, MS, LMHC
Title: OWNER
Phone: (850) 390-4213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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