# EMBODIED ECOLOGY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Center, Santa Cruz Neurofeedback Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346776226
- **Authorized official:** LANGDON SE ROBERTS (CEO)
- **Authorized official phone:** (831) 239-6353

## Contact information

- **Practice address:** 2425 PORTER ST STE 7, SOQUEL, CA 95073-2454
- **Practice address phone:** (831) 464-1419
- **Practice address fax:** (831) 476-7529
- **Mailing address:** 2425 PORTER ST STE 7, SOQUEL, CA 95073-2454
- **Mailing address phone:** (831) 464-1419
- **Mailing address fax:** (831) 476-7529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 80304 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 172M00000X | Mechanotherapist | 50028 | CA | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 12/11/2020