10D2093522 CLIA NUMBER - EMBRACING LIFE WELLNESS CENTER

Laboratory Demographics

CLIA Number: 10D2093522

Facility Name: EMBRACING LIFE WELLNESS CENTER

Facility Address:
6332 US HWY 301 S
RIVERVIEW, FL
ZIP 33578
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Facility Phone Number: 813 662-5919

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1083063176

Taxonomy: 2084P0800X - Psychiatry & Neurology
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.

CLIA Record

Field Name Field Value
CLIA Number 10D2093522
LAB Type Practitioner Other
Facility Name EMBRACING LIFE WELLNESS CENTER
Street 6332 US HWY 301 S
City RIVERVIEW
State FL
ZIP 33578
Phone 813 662-5919
CertificateType 4
CertificateEffectiveDate 3/30/2023
CertificateExpirationDate 3/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024