Basic Information
| Provider Information | |||||||||
| NPI: | 1003412438 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EMBRACED STRENGTH THERAPY SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 267 KENTLANDS BLVD # 5206 | ||||||||
| Address2: | |||||||||
| City: | GAITHERSBURG | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208785446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2408555428 | ||||||||
| FaxNumber: | 3019901141 | ||||||||
| Practice Location | |||||||||
| Address1: | 267 KENTLANDS BLVD # 5206 | ||||||||
| Address2: | |||||||||
| City: | GAITHERSBURG | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208785446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2408555428 | ||||||||
| FaxNumber: | 3019901141 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2020 | ||||||||
| LastUpdateDate: | 07/02/2022 | ||||||||
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| AuthorizedOfficialLastName: | SMITHSON | ||||||||
| AuthorizedOfficialFirstName: | TIFFANI | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | CLINICAL SOCIAL WORKER | ||||||||
| AuthorizedOfficialTelephone: | 2408555428 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | LCSW-C | ||||||||
| NPICertificationDate: | 07/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.