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EMBRACING LIFE WELLNESS CENTER PA NPI 1083063176


NPI Information

NPI: 1083063176
Provider Name: EMBRACING LIFE WELLNESS CENTER, PA

Former Legal Business Name: MELISSA VILARDEBO, MD, PA

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 10D2093522

Address:
6332 US HIGHWAY 301 S
RIVERVIEW, FL
ZIP 33578
Phone: (813) 662-5919
Get Directions

EMBRACING LIFE WELLNESS CENTER, PA is a psychiatry psychiatry neurology in Riverview, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. EMBRACING LIFE WELLNESS CENTER, PA NPI is 1083063176. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Melissa Vilardebo, Md, Pa.

The provider's business location address is:

6332 US HIGHWAY 301 S
RIVERVIEW, FL
ZIP 33578-829
Phone: (813) 662-5919
Fax: (813) 671-8374

The provider's authorized official is Melissa Dawn Fickey .
The authorized official title is Ceo and has the following contact phone number (813) 662-5919.

The CLIA number assigned to this NPI record is 10D2093522 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2016 and was last updated on 6/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryME96297FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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