# EMBRACE TO EMPOWER WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548775273
- **Authorized official:** LATAMIA M WHITE-GREEN MD (PSYCHIATRIST)
- **Authorized official phone:** (863) 937-5599

## Contact information

- **Practice address:** 4720 CLEVELAND HEIGHTS BLVD STE 305, LAKELAND, FL 33813-2246
- **Practice address phone:** (863) 937-5599
- **Practice address fax:** (863) 816-5403
- **Mailing address:** 4720 CLEVELAND HEIGHTS BLVD STE 305, LAKELAND, FL 33813-2246
- **Mailing address phone:** (863) 937-5599
- **Mailing address fax:** (863) 816-5403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2017
- **Last updated:** 12/04/2017