EMBRACE WELLNESS CENTER LLC NPI 1124851118

NPI Information

  • NPI: 1124851118
  • Provider Name: EMBRACE WELLNESS CENTER LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 10D2311199
  • Address: 985 SEAWAY DR
    FORT PIERCE, FL
    ZIP 34949
  • Phone: (772) 577-1697

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NPI Details

EMBRACE WELLNESS CENTER LLC is a rehabilitation and substance use disorder clinic center in Fort Pierce, FL. EMBRACE WELLNESS CENTER LLC NPI is 1124851118. The provider is registered as an organization entity type.

The provider's business location address is:

985 SEAWAY DR
FORT PIERCE, FL
ZIP 34949-744
Phone: (772) 577-1697

The provider's authorized official is John S. Wilks-young .
The authorized official title is Clinical Director/ceo and has the following contact phone number (772) 577-0405.

The CLIA number assigned to this NPI record is 10D2311199 - other - outpatient sud treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2024 and was last updated on 8/23/2024.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 11/21/2025

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